1979, 11-26 Permit: P79-8319 Water SoftnerPLAN NUMBER
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
1.
2.
3.
LOT
70 N0-
BLOCK UBDIVISIO
LEGAL DESCRIPTION - SEE ATTACHED
OWNE
dLt
PHONE
PARCEL NUMBER/S
ADDRESS
ZIP
Required Set Backs in Feet
North 1South [East (West
4.
5.
CO ACTOR
AD
AD��DI1RESS
DESIGNER
PHONE
cf
CC—(17.S7)
ZIP
q �f ZO2
PHONE
Size of Parcel I Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area
Basement Area r Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Floors No. Rooms
Rec. Room
il
CERTIFICATE Req'd.
of EXEMPTION
Rec'd.
Not Req'd.
DESCR BS�E//`` WORK
8.
`
VALUATIO ~
9.
Srce
of
Utilities
GAS
ELECTRIC
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. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE ii/Z6l7 OFFICIAL
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
0-6
TOTAL $ c7
PERMIT NUMBER
lit_ 3 i 9
DATE
03* *3,00
*3.00
*3006
B *0.00 0
831.82
11-26-79
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 —2 it -7 31.9 X3,0 0 °
I 1\I QD COTl1D