1981, 05-15 Permit: 81A-4787 Water Softener PLAN'MBER APPLICATION/PERMIT f PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
I APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS `6 J * •* 5 0 0
19 <I Iv I 1 L6 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOC SUBDIVISION PARCEL NUMBER/S * "
2. * 5. 0025
OWNER _ PHON
3. 0. j _ G- --MfJ`>' �i ^ 1 V 7,e�- A * C,0 0
ADDRESS 19 � ��� V ZIP Actual Set Backs in Feet
j J North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 5
— 1 5—8,1
AkrI - 4,J1. I.5 -sfcksz,
4'
ADDRESS �/� p Type Const. Occupancy Sprinklered 6 4 7 9
✓ 7— J4 f'`FO -49 ❑Yes ❑No El Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ A ❑ AD'N. El RPL. El MVE.
7. OF ❑ OTHER
WORK ElBLD. PLMB. 1:1MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESC IBE WORK I Enum. Dist. Location (Area)
8.
- `
-.' '''- '11,41P'4--
„. FEES COLLECTED
VALUATION SOURCE GASELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority 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 5 15 , SIGNATURE OF APPLICAN IL Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
(
NAME DATE Plan Check
Env. Health
>-
SEPA a.
a
Planning O
U
—
Fire Marshall Mobile Home -I
Co. Engineer i Other(Specify)
Utilities a 0
TOTAL $ �a,
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ing Te ian cid PERMIT IS NONTRANSFERABLE 015 171 �j';. �.��'lj 4 7 8.7.Z �•
5.0.0 pa F.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL