1981, 04-30 Permit: 81A-4154 Water Softener PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER'
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
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- NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
.) APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESSLEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 5.0 0
1. K; , Sid i��0� I * 500
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* Y
2. S.OOc,
OWNER PHONE
3 14 ,NA . 106 921-- J _ R * 0. 001
AD ESS ZIP Actual Set Backs in Feet !
lwI �� �"1(-/ 4 1 5. 3
I. Ni 'V rrbL •I•J t✓� /rr North 'South East (West
CONTRACTOR P-lON s Size of Parcel Zone Classification 0 4—3 0—8
j 441"" 6 /'
4' ADDRESSIP , Type Const. Occupancy Sprinklered 4 7 9.
` 7(7 141/.(g-3.7
`�'7j ❑Yes ❑No ❑ Req'd.
DESIGNER 1 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 iff7
NEW ❑ T. ❑ AD'N. ❑ RPL. ❑ MVE.
OF 0 OTHER -
CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 BLD. PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
$ DESCF{IBE wO��'RK ` Enum.Dist. I Location (Area) ' FEES COLLECTED
VALUATION SOURCE"E 66 GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public 0 Private 0
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 , O
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
. w l
DATE OF APPLICATION A/-zo 0I SIGNATURE OF APPLICANT pp �fillW ' ' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n
Planning cU
Mobile Home ,,
J
Fire Marshall II
Co. Engineer Other(Specify)
Utilities V 0a
TOTAL $ 7.
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES AI�PERMIT.
Buil g Te ciao PERMIT IS NONTRANSFERABLE �014��-'3 O.-p 1f 4'1"5,4 z' *5,0 Q a H
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL