1979, 07-17 Permit: 79-578 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ` 7g
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE i_
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARIITO MAKE 4 COPIES 0 / * 3.0 0
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED *3.0 0
�. .� /a 7�/ d Lam_
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 57.7
2. 07- 17-79
OWNER PHONE
3. _e-zn� i 6,479.
ADDRESS ZIP Required Set Backs in Feet
,,,d---g----)--11-#. North 'South East (West
CONTRACTOR ,.... PHONE Size of Parcel Zone Classification
a. ��.�. di4111,listlS�= STS
ADDR- S g ZIP Type Const. Occupancy Sprinklered
5— .�� �C��.2, ❑Yes ❑No ❑ Req'd.
DESIGNER `J PHONEIValuation 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. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. IXPLMB. ❑ MECH: 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8.
FEES COLLECTED
VALUATION Source GAS ELECTRIC 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
CC
SEPA o
Planning w
0
Mobile Home cn
Fire Marshall z
Co. Engineer Other (Specify)
Utilities A
TOTAL $ (JC
Zone Clearance
�I , ,�,- ,�^ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist Q 7 {-iK.� �LL��"'_"�" 1 THIS BECOMES A PERMIT.
DATE 72/ OFFICIAL'// 07 1 ? -79 578 * 3, 004 _,
APPROVED FOR ISSUANCE