1981, 03-23 Permit: 81A-2660 Water Softener PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
0.) SPOKANE COUNTY - BUILDING CODES DEPARTMENTX// _"�NORTH 811 JEFFERSON / SPOKANE,,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 3 * * 5.0 0
� /, �. LEGAL DESCRIPTION - SEE ATTACHED * 5.0 0 N
7
1. /C)//ti /i-it 1.--;:t,...,.. -
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 5.0 0 v
2.
^�OWNER PHONE A * 0.0 0 v
3. ADDRESS,,64,,,,07 ,c � ,, te�ll '_ y{L ZIP S 7 , Actual Set Backs in Feet 2 6 5 9
�1-% z,�z.l,�-r.fi/"✓`. J1t .:164!i_- 'i? 04. North 'South East (West
%�, /V 4(6 r�i s f 03-23-81
CONTRACTOR p PHONE Size of Parcel Zone Classification
r ,e- / 714/ .TL D��.,,i..f 1 I,C .-5-' 2 2 6 4 7 9.
4'
ADD' ESS ZIP Type Const. Occupancy Sprinklered
e ✓ ,-.5- ,1-7 gq ,,,-e____q ,,,-e____ �`�/Ip_114'i'.'.Q 979 U 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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
D SCg,IBE WORK Enum. Dist. I Location (Area)
8.j �,..(�t; "�7,1I
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
9. UTILITIES Public El 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 ` �
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION , Via:'- ''/ SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a_
Planning 0U
-
Fire Marshall Mobile Home -I
ii
Co. Engineer
Other (Specify)
Utilities
TOTAL $ �
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ilding T chni�+an PERMIT IS NONTRANSFERABLE Q l3jr 2'7J1u!� -
� ' 1 2 6 6.0 2 * 5 R. F 0 0
/L` "'1,f.4. /_.4., PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL