1981, 08-25 Permit: 81A-8511 Water Softener 1PLAN NUMBER APPLICATION/PERMITPERM NUMBER
SPOKANE COUNTY BUILDING CODES DEPARTMENT [¢J~�'�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
1
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. /6 7 !7 //- LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S U v * * 5 0 0
2.
+ tU r
o U)
3 (tha4�taz aei 0 * 500
ADDRESS
y SLP /_ Actual Set Backs in Feet
G/ (� 1� North (South East (West
CONT CTOR PHONE Size of Parcel Zone Classification o c.,
._..4 -/i ' e)4. i, ��
A ,�� ZIQ Type Const. Occupancy Sprinklered 0 L 5- t
5-
�E� -2e-7 el9 �1 ❑Yes ❑No❑ 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS -I- iIP� Main Floor Upper Floors Garage Area Storage -
•
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. APLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE OR Enum. Dist. Location (Area)
—
8. ea L � FEES COLLECTED
VALUATION SOURCE GAS ELECT IC WATER SEWER Ownership USE CODE
OF
9. . UTILITIES Public ElPrivate 0 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 granti*1 of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local Y regulating c.nstruction or the
performance of construction. EE REVERSE SIDE FOR REQUIRED INSPECT( 0 S Plumbing
DATE OF APPLICATION SIGNATURE OF APPLIC 4 /, � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: r
NAME DATE Plan Check
Env. Health
Planning SEPA t`
n_
C7..)
Fire Marshall Mobile Home
EL
Co. Engineer Other (Specify)
Utilities „L•Ll
'
TOTAL $.
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Adok
/B • :--• ec, in PERMIT IS NONTRANSFERABLE .0"8 -;2I5-81 8 5.L 1 z *5.0 0a g -
"y PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL