1981, 01-27 Permit: 81A-905 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
OT I BLOCK B O PARCEL NUM' /iR/S
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. I� PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
D SCRIBE WORK Enum. Dist. Location (Area)
$ FEES COLLECTED
VAL TION SOURCE GAS ELECTRIC I WATER I SEWER Ownership FUSE CODEOF1:1Private I-9. UTILITIES Public
Single
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give aythority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION Z — J- 7 —9'j SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
,46 -.Vo
Fire Marshall Mobile Home
Co. Enqineer Other (Specify)
Utilities
Plans Examiner
SEPA Checklist
Building
Tec niciap
PERMIT IS NONTRANSFERABLE
PERMIT NUMBER
u��* *x.00
(i 0
50c'
n Q0�
9O,4 =
01-27-101
6,4-Q,
TOTAL =
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 2f�-8`1' 9Q'SZ *50.0a�
OWNER
PHONE
`*77Z
3.2-'i%
ADDRESS
ZIP
Actual Set Backs in Feet
c-
�y49
61
North—]South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
�S = B�"D
4.
AD ESS
ZIP
Type Const.
Occupancy
Sprinklered
2D
❑Yes [:]No 1:1 Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. I� PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION
D SCRIBE WORK Enum. Dist. Location (Area)
$ FEES COLLECTED
VAL TION SOURCE GAS ELECTRIC I WATER I SEWER Ownership FUSE CODEOF1:1Private I-9. UTILITIES Public
Single
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give aythority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION Z — J- 7 —9'j SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
,46 -.Vo
Fire Marshall Mobile Home
Co. Enqineer Other (Specify)
Utilities
Plans Examiner
SEPA Checklist
Building
Tec niciap
PERMIT IS NONTRANSFERABLE
PERMIT NUMBER
u��* *x.00
(i 0
50c'
n Q0�
9O,4 =
01-27-101
6,4-Q,
TOTAL =
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 2f�-8`1' 9Q'SZ *50.0a�