1980, 07-08 Permit: 80-6807 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
t`-JE(� SPOKANE COUNTY - BUILDING CODES DEPARTMENT .* p n'6dsori
(// NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
o�(� ; - L kGAL DESCRIPTION — SEE ATTACHED '� * r
1. �bi'1�1G C., e-i�tl"14.i1�L�ty
LOT BLO K SUB 1 S PARCEL NUMBER/S
2. * () r
OWNE PHONE
3. -1, P R-4,LA, P4 Li. q -011, E of
ADDRES�S! [ ZIP Actual Set Backs in Feet
� .J. � (JO 9c -t j L�N) ' (0 North (South East IWest 6 8 C 6 Go
N
CONTRA TOR PHONE Size of Parcel Zone Classification n
4' ADDRESS ZIP� Type Const. Occupancy Sprinklered o 6 Q 7 !.
E. . a --) _. _ s�-'t a�& Yes ❑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.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. l PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK (
C� Enum. Dist. Location (Area) FEES COLLECTED
VALUATION SOUR8. CE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
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 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 �siiZ
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbin
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
•
SEPA >
0
Planning c
_ C.
Fire Marshall Mobile Home u
u.
Co. Engineer Other(Specify)
Utilities
[J _
TOTAL $ 3O
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ng`T cchnician PERMIT IS NONTRANSFERABLE '07 Q 91-'$[) 6 8 0 7 z * 3 - ,
1 4CIA,' -) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL