1981, 05-15 Permit: 81A-4793 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
[A- 4-795
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
0.1 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
f APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
D
JOB ADDRESS * F Cl i
1. AD V040, e::)° LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. r
OWNS, PHONE
r, - c'
AD E$$_ Z LI-
North
y
11�Z/, North 'South East 'West 05- 1F-81 r_ 1 `— t
CON.7CTRATOR kJIfrI pH OU� Size of Parcel Zone Classification
4. bt79.
ADDR SS i ZIP Type Const. Occupancy Sprinklered 5 ► -I+ ❑Yes ❑No 0 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 f No. Baths No. Stories No. Rooms No. of Dwellings
l6Ll NEW ❑ LT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 0 BLD. RIPLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRI Enum. Dist. I Location (Area) '
8. I', YYVp . FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 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 5 ,v4
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATIONi ` + SIGNATURE OF APPLICANT _ . III! ! ' • Mech.
SPECIAL APPROVAL SPECIAL CONDITIONS: /
NAME DATE ( Plan Check
Env. Health
SEPA >.
Planning
O
C�
Fire Marshall Mobile Home — w
ti.
•
Co. Engineer Other(Specify)
Utilities
}_,, °Je?
TOTAL $
Plans Examiner
SEPA Checklist WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Buildin• a n?le.. PERMIT IS NONTRANSFERABLE
--� 0 !5 r'1 ,5'''�rZr 479.35 *5,002 —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL