1981, 06-08 Permit: 81A-5565 Water Softener t PLAN NUMBER APPLICATION/PERMIT Q PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT T & �c'G'�
t NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
A6/ PPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
0 3 * * 5. 00
v
JOB ADDRESUI
1.
x214 . "i l bur LEGAL DESCRIPTION — SEE ATTACHED * 5, 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 5. O 0 6
2.
OWNER PHONE A * 0.0 0 E
3. Rod & Kath1'en O'Brian Holmes 922-4673
ADDRESS ZIP Actual Set Backs in Feet 5 5 6 4 2
3211 S. Wilbur 99206 North 'South East 'West 0 6-0 8-8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
Servi soft Systems 328-6651 s 6 4 7 9,
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
W. 507 Indiana 99205 Oyes ❑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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. AO PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
A of EXEMPTION
DESCRIBE WOR,: Enum.Dist. Location (Area)
8. Soft rater FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
, OF
9. UTILITIES Public 0 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
5.00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION qh/$i SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health _
SEPA "-
Planning r)
- t,l
Mobile Home --
Fire Marshall Li.
Co. Engineer Other(Specify)
Utilities TOTAL $ 5.00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building T cthnician PERMIT IS NONTRANSFERABLE U U 'U '. 0 h, 5'5'6.5 Z *5.0020 -
'' f Ci PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL