1981, 04-09 Permit: 81A-3326 Water Softener a_.
PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
4 SPOKANE COUNTY — BUILDING CODES DEPARTMENT
r� �
1_} NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 3* * 5.0 0
1. - ,�f OP��iii 7 01 1st przi- LEGAL DESCRIPTION — SEE ATTACHED * 5.0 0 to-
LIST I BLOCK SUBDIVI O PARCEL NUMbER/S
2. I *5,006
OWNER PHONE *
3. AM1J ' e; . �'-!'`�' ,q.2.<2,-!l/93 A 0.0 0
DRESSZIP Actual Set Backs in Feet 3 3 2 5 2
7 ��i
z�
i / 7 '! zt-!/t/ 4, qq0,2.6.. North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 4-0 9-8 1
> .D t il,� ,e21 �6 -frr:/ii 6, 2 6 4 7 9,
•4' ADDR SS /, -,d D ZIPTypeType Const. Occupancy Sprinklered z
e .. 2., 3,, £ t( acyl�✓L�' . 4YLL 97 H�..L7Z... CI Yes ❑No ❑ 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 ❑ ALT. ❑ AD'N. ❑ RPL. CIMVE.
7, OF ❑ OTHER
WORK ❑ BLD. ,R1 PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist.
8. J y� '1//(1,0, ILocation (Area)
FEES COLLECTED
VAL ATIOLAYI
SOURCE GAS re.,6,-fre„,
LECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public CI 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 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.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION '`'/-c -,Y" SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a
Planning O
C.)
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities _
TOTAL $ � ��
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 44404 t! i o * O F.' -
p1 ,.,, , 33262 5,00
4. '- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED, PERMIT NO. TOTAL