1980, 07-17 Permit: 80-7258 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER p A 2,2,5'0SPOKANE COUNTY — BUILDING CODES DEPARTMENT
AlNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 3 * * 3.0 0
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED * 3 0 0 N
1. [!//9p LOT BLO K SUBDIVISION S PARtiEL NUMBER/S * 3.0 0 8
2 E * 0.0 O
OWNER PHONE
3. COL/ ‘24../72-C2-44- 72572
ADDRESS ZIP / 0 7— 7—8 0
Actual Set Backs in Feet
,Q6 North (South East (West
CONT CTOR PHONE Size of Parcel Zone Classification Ll 7 9,
4' ADDRESSZIP Type Const. Occupancy Sprinklered
�. _ ,924,2 ❑Yes ❑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
❑ NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7 -
WORK LI BLD. 'PLMB. 0 MECH. 0 M.H. ID POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK /� Enum. Dist. I Location (Area)
8. Gii-4.
- -,/ �/�/
FEES COLLECTED
I
VALUATION
SOURCE GAS ELE TRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 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 granting of a permit does not presume Building
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 •1< SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPE IAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA TS_
Planning c.>
Fire Marshall Mobile Home �J
i
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'(ding hnician PERMIT IS NONTRANSFERABLE (17: T —8 .G f 5. 8 ' * 3, Q a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL