1979, 12-28 Permit: 79-9602 Water Softener PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER — I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 3 * * 3.0 0
JOB ADDRESS
1.
s o(0 (k) ,-_ p 1.&. LEGAL DESCRIPTION - SEE ATTACHED * 3.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3.0 0 U
2.
OWNERc)LL --� PHONE
E * 0.00
3. tJ�t�Y�, �). Nap 7 Qa .AS I q 9 6 0 1 2
ADDRESS 1t2 ZIP Required Set Backs in Feet
at Y\4_1 North 'South East (West 1 2-2 8-7 9
CO ACTO PHONE Size of Parcel Zone Classification
Cu -.Zyik. W a p1/4_, 6,9q-1 Al 3 8 6 It 7 9.
4. ADD ss 1
hQ ZIP /�^ Type Const. Occupancy Sprinklered
C. 17g i� & al II �a1Jol... ❑Yes ❑No ❑ Req'd.
DESIGNER / PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE h] NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK
CI BLD. CI PLMB. ❑ MECH: 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. wi4tItkOiVVQ. ' FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities
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
Plumbing
performance of construction.
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
n
SEPA
1c
Planning — u
Cl
Mobile Home v
Fire Marshall 2
Co. Engineer Other(Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE1T–O�Z7-7�OFFICIAL 62D4CLVLM.�I -) ^12 Q -' �i�,, L *
APPROVED FOR ISSUANCE —