1980, 02-01 Permit: 80-806 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
�e
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
r z + ;, ;"i r;
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
OWNER
PbL°NE
HiQ
3.
i' Y
Cl
ZIP
��&
Required Set Backs in Feet
ADDRESS
r
North South
East West
0�_-Cj1-3u
7 b /
CONTRAC R
PHONE ""'�
Size of Parcel
Zone Classification
l-Ll�? S
- //7U
4.
ADD
ZIP
Type77F7
pancy
Sprinklered
0%
f�>
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE El NEW El ALT. ❑ AD'N. El RPL. El MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF
❑BLD. �PLMB. ElMECH: ElM.H.
❑ OTHER
11 POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8 J
FEES COLLECTED
VALUATION e GAS
E�LCETRIC WATER SEWER
FSou
9. Utilities
/�(",
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 authority to violate or cancel the provisions of
any other state or local law regulating construction or the
performance of construction.
Plumbing
DATE
SIGNATURE _
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
_
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)-
Specify)
Utilities
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS, ITCO,{VI€S A ERMIT,
lk� ((''
Q.�
f]AT �' VJ� nFFICIAI
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