1981, 12-04 Permit: 81B-2441 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
1.
E. 13217 Tall Tree
LOT
BLOCK
PARCEL NUMBER/S
2.
I
ISUBOIVISION
RosseRCoombs
PHONE2
3
084
ADDSS
E.fy1T217 Tall Tree
ZIP
99216
Actual„Set Backs in Feet
North South East west
�OTTTVa er Service Co.
PHONE
Size of Parcel
Zone Classification
4.
DD
t. ff-"Third Ave.
ZI [f �5
§9202
Type Const.
Occupancy
Sprinklered
❑Yes []No ❑ 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
6.
I
No. Baths
No. Stories
No. Rooms No. of Dwellings
TYPE ❑NEW ❑ALT.
❑ AD'N. ❑ RPL. ❑ MVE.
7,
OF
1:1BLD. l91 PLMB.
❑ OTHER
❑ MECH. ❑ M. H. El
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8. Water )OTtner
VALUATION I SOURCE GAS ELECTRIC I WATER I SEWER Ownership USE CODE
OF Public ❑Private ❑
9. UTILITIES
Single $
1 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 authority to violate or cancel the provisions of any other state or local law regulating construction or the 5.00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Healtn
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Plan Check
SEPA
Mobile Home
PERMIT NUMBER
i r • rp - A114
Other (Specify)
TOTAL $ 5.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ech � ra PERMIT IS NONTRANSFERABLE IZ ,0 4'- 8 1r 2 4 4.125 *-5, 0 0 .a �