1980, 02-19 Permit: 80-1299 Water Softener PLAN NUMBER APPLICATION/PERMIT e 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
JOB ADDRESS03 * * 300
1. i()7 CI , LEGAL�DESCRIPTION - SEE ATTACHED * 3,0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
* 3006
OWNER/Cie., PHONE
3. t- /2-CeC/ g,,,Az.,_.) 27�cf, E
* o o 0 U
ADDR S
ZIR Required Set Backs in Feet 1 2 9.8
/ 7c7 7 6��� ��C North South East West
CONTRA OR PHONE�,� Size of Parcel Zone Classification 0 2- 1 X9-8 0
�� Y�l �1 /7 7.6) • 6 4 / 9,
4• �E) ZIP Type Const. Occupancy Sprinklered
AD . ie
^ r6 ..., -77
7 9 � 1`�
Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7, OF ❑ OTHER
WORK ❑ BLD. PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. (JI.:,
Y
� /r ..,r-
FEES COLLECTED
VALUATION Source -c GASTRIC 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 ' '
performance of construction. Plumbing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
!x
SEPA o
Planning -- w
0
Mobile Home Cr)
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES ApPERMIT. n
DATE OFFICIALe'^�I dMJY�1Y� CI 2 '—i 7,—J n' ,� 2 7(�, 7(} Z * 3,0 U Q. __I
APPROVED FOR ISSUANCE —