1981, 08-18 Permit: 81A-8223 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
li.-/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. �/ i'C `�
"` r' LEGAL DESCRIPTION — SEE ATTACHED
R V " I PHONE
PERMIT NUMBER
zZ 3
Jam\DK SS
TO
Z
Actual Set Backs in Feet
�'J * * 5,0 0
r r /
/ /1
1
North
1O
South
East West
* 5 0 0 '[5
CON ACTOR
No. Rooms
PHONPFy/c 7
Size of Parcel
Zone Classification
CERTIFICATE
-—
Recd.
-
.�U_PLMB.
WORK
*5.006
4' AD
ZI
Type Const. Occupancy
Sprinklered
Enum. Dist,
0 J
❑ A Q Yes ❑No ❑ Req'd. � � n
DESIGNER PHONE Valuation Building Area in Sq. Ft. ^
�?c22._
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 0,11-1
CHANGE OF USE FR M A e f D k F' • h d B 6479,
O
TO
r a o ec s
finis a
asement
Unfin. Basement
6.
TYPENo.
❑ NEW ❑ALT. ❑ AD'N. 11 RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
❑ BLD. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
.�U_PLMB.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist,
Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
ELECTRIC
WATER/
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
'
Public El Private ❑
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 loc i w regulating construction or the
performance of construction. S E REVERSE SIDE FOR REQUIRED INSPECIrIPNS /
Plumbing
7
DATE OF APPLICATION �` SIGNATURE OF APPLI""
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
ui a ni i n PERMIT IS NONTRANSFERABLE
8',�1 8 8 1 8 2 Z 3 z
*5,00a� -