1979, 09-24 Permit: 79-4605 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 _./ 52- ,79
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
03 * * 3.00
JOB ADDRESS ' / LEGAL DESCRIPTION — SEE ATTACHED * 3 0 0
tii
LOT BLOCK SUBDIVISION PARCEL NUMBER/S *3 0 0 v
2.
OWNER / PHONE / E * 0.p p v
3. !t a.1- L- t'4 EZ-Wt.et f--- e/Z 95
ADDRESS ZIP Required Set Backs in Feet 4 6 Q 4 2
/t,-v /l r� North (SouthEast (West
CONT CTOR PHONE ;<9 7 J_ Size of Parcel Zone Classification 0 9 2 4 7 9
_4. -t ', /ti,-)1. - 1l///n 2 6 4 7 9.
4' ADDRESS/// d J/ f� ZIP Type Const. Occupancy Sprinklered
L.�/_) ./.. ) �/ r-' / /7�„ _�' Eves ❑No ❑ Req'd.
DESIGNER/ (1� / PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I 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. 'PLMB. ❑ MECH: ❑ M.H. ❑ POOL f CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK \ FEES COLLECTED
8.
VALUATION Source GAS ELEC RIC 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
3
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
cY
SEPA o
U
Planning _ UJ
d
Mobile Home v,
Fire Marshall z
Co. Engineer Other (Specify)
i1
Utilities ef
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
r.
SEPA Checklist [� �, THIS B�FESCOMES A PE(}RMIT. O J
DATE ✓ 4 1fOFFICIA% , '� 0 � �'_ �,7 4 U O. 5Z * 3,0 0. F
APPROVg—F6R ISSUANCE _