1979, 10-23 Permit: 79-6551 Water SoftenerIPFV NUMBER
is
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LOT
QWNE
ADG
CONT
4.
BLOCK
UBDIVISION
CTOR
rr,_3706-
PHQNE
� � 77&
O7 -NE
.//7e
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs in Feet
North [South
Size of Parcel
!East West
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZI P
DWL Area Basement Area
Garage Area I Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ BLD. t PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Rep'd.
DESCRIBE WORK
8.
VALUATION
9.
S ce
of
Utilities
GAS
ErLECTRIC
WATER
SEWER
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
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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE/0
0 F��ir�
APPi + D FOR ISSUANCE
r
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
34-
PERMIT
NUMBER
79-6551
DATE
* 3.00
*300
* 3006
E *0.00 8
655.0
10-23-79
A 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES.A PERMIT.
'1 0 -. 2 3f= 7'9 6'5 51.1 2
F -
*3,00°