1980, 04-16 Permit: 80-3545 Water Softener PLAN NUMBER APPLICATION/PERMITPERMIT/NUMBER .
SPOKANE COUNTY — BUILDING CODES DEPARTMENT -`6,0- 35)-1
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 03 * 3 00
JOB ADDRESS K \ ♦ • \ LEGAL DESCRIPTION — SEE ATTACHED * 300 tz
1 LOT BLOCI. - V).3\15r' PARCEL NUMBER/S 6
2.
* 3. 00
OWNER PHONE E * �, 00 E
3 ADDRES 00.S:kk) �� ZIP _b1 Actual Set Backs in Feet 354. 4
���JJJ���,� f��i` North 'South East (West 04- 1 6-80
ONTR CTOR ����T�w cl-oligc`V ' Size of Parcel Zone Classification
6479,
4. AD RESS \� ZIP Type Const. Occupancy Sprinklered
V
Oyes ❑No D 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.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
KNEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. P PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE[ \ORK ` � A Enum. Dist. I Location (Area)8. FEES COLLECTED
VALUATIO SOURCE GAS LECTRIC WATE SEWER
VVVV Ownership USE CODE
OF
9. UTILITIES Public ❑Private 0
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 grantingof a Building
yp p p 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 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA 2
Planning O
Fire Marshall Mobile Home
Cr
Co. Engineer Other(Specify)
Utilities
TOTAL $ __
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
n
B a h- ician PERMIT IS NONTRANSFERABLE r�J. 6 - '1" -' 7 1E 5 5 * 5, U 0,2 —
2, OJvt��Csv'. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL