1980, 03-20 Permit: 80-2439 Water Softener PLAN NUMBER APPLICATION/PERMIT ,-PERMIT P-%0-9..}-) q
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES ( 3 * * a i) o
JOB ADDRESS1. /5,,, ,, , r IAlley Lt") / LEGAL DESCRIPTION — SEE ATTACHED `
LOT BLOCK SUBDIVISION ( PARCEL NUMBER/S "'. -.S.0 0
2. `
OWNE,J��L/ L.r L r7 7 7
/
3. ,51 ' 2 4 3i, 8 .
ADDRESS� !} / ZI Required Set Backs in Feet
/3-70 3 E �1uz// ci &L4y ;7037 North 'South East 'West 0 5_ 2 C;_8 0
CONTRA: •R, / PHONE Size of Parcel Zone Classification 6 tri 7 n,
_100
4• ADsZLp Type Const. Occupancy Sprinklered
0 6 a-70
7 e .0 Oyes ❑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.
No.Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7• OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK ❑ BLD. _PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK n
8. / iz -,, ��, FEES COLLECTED
VALUATION l urce GAS E CTRIC WATER SEWER
of
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 � -6
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
Plumbing
performance of construction. -�
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. FOR GAS: Plan Check
Env. Health
PIPE SIZES: SEPA o
Planning — U
PIPE LENGTHS: Mobile Home
Fire Marshall z
Co. Engineer ETUS Other (Specify)
Utilities TOTAL $ '. 6 /
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
n , ' ri
DATE.�7�A5 r es 3OFFICIAL ri/ U L (! J _ t] J u �
APPROVED FOR ISSUANCE —