1980, 06-03 Permit: 80-5295 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 911 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
I I (_ 11 �_, (1._.._ - _ __ M .__ 0— I LEGAL DESCRIPTION —SEE ATTACHED
3.
0
a.
ZIP
DESIGNER PHONE
5. ADDRESS ZIP
CHANGE OF USE FROM TO
6.
TYPE10 NEW ❑ ALT. El AWN. ElRPL. ElMVE.
7, OF ❑ OTHER
WORK ❑ BLD. XPLMB. ❑ MECH. ❑ M.H. ❑ POOL
113
ual Set Backs in Feet
h South East Wei
of Parcel Zone Classification
,pe Const. Occupancy Sprinklers
❑Yes ONO ❑
ation Building Area in Sq.
ain Floor I Upper Floors I Garage Area
Rrea of Decks I Finished Basement I Unfin
o. Baths I No. Stories I No. Rooms INo
CERTIFICATEI Req'd. I Recd. INot R
of EXEMPTION
Am. Dist. Location (Area)
FEES COLLECTED
vllw--wry SOURCE GAS ELECTRIC WATER SEWEiF
OF Ownership USE CODE
�. UTILITIES Public OPrivate 111
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisionsincluded
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 @ 00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS P umbing
DATE OF APPLICATION SIGNATURE OF APPLICANT III Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
cai[J
TOTAL $
THIS BECOMES A PERMIT.
DATED A UED31 — 8; 0
03* *300
*300
*3.006
E *000
529.4=
06-03—SO
2 6479.
U
5'2'915z *3,00101F�
PERMIT NO. TOTAL