1980, 01-18 Permit: 80-0338 Water Softener PLAN NUMBER - APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 8U J U 77 b
t NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS 03 * * , t}
/5.30911 r /VIL - LEGAL DESCRIPTION — SEE ATTACHED I` (:i
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 3,
2.
OWNER PHONE E ,, L i,`
a ey �� /1/e/6/)/t) 9, ,f.t*'s-
ADDR aZIP Required Set Backs in Feet 3 3,7 c
/'lj 3e q — /V. <-.
/ 6 North (South [East (West 0 I _ n
CON ACTe R PHONE Size of Parcel Zone Classification 1 — 1 8 8 0
4. tt/_fi -- ID/A)2 o V4"---//71i) . 2 6 4 7 9,
AoDR= S ,,//�� /) 7 ZIP ZEl
Const. Occupancy Sprinklered
J Fi /1, 7 - Eves ENo Req'd.
DESIGNER ;J C� / 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. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. LMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
, ,/���/'Lof EXEMPTION
DESCRIBE WORK �� /tiet 4.L-/ ��Q l�—)
FEES COLLECTED
8. L
VALUATION Source GAS ELECT WATER SEWER
of X9, 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 .L..
performance of construction. Plumbing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
Planning U_
W
Mobile Home Cl)
Fire Marshall z
Co. Engineer Other (Specify) /Vt
Utilities ��
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist < -, THIS BECOMES A PERMIT.
DATE w, OFFI -.Mr 441111111111!441111111111! iJ j 1 (Ci} 5 5. 8 * J L
AP:;1 a FOR ISS ANCE _