1982, 01-18 Permit: 82A-413 Soft WaterAPPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E. 6113 17th AVENUE LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBISION PARCEL NUMBER/S
OWNER
PHONE
3, .RICHARD S. SMECKO534-0130
ADDRESS
ZIP
Actual Set Backs in Feet
E. 6113 17th
99206
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
SOFT WATER SERVICE CO
455-8050
4
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 25 Third
99202
❑Yes ❑No ❑ 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. Basemen
6.
TYPE 1-1 NEW ❑ALT. 1:1AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellh
7, OF -1 OTHER
WORK ❑ BLD. 12 PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Rec'd.
Not Req
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
g, SOFT WATER
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public ❑Private El
Single $
1 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
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing 5.00
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
t
SPECIAL APPROVALS
NAME DATE
v. Health
nning
neer
s Examiner
SPECIAL CONDITIONS:
echp'84, �n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
PERMIT NUMBER
e ;2,lk - +1-�
*5,00
X5,00
*5.0061
A -000
4 1.2 P
01 18-82
6.479,
SEPA I a
C
C.L
Mobile Home I LL
LL
Other (Specify)
TOTAL $ 5.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*5,00 1 a.;' -
TOTAL