1979, 07-17 Permit: 79-562 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ?'7 5-6.2,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 0.......06---
APPLICANT:
/-APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD,TO MAKE 4 COPIES
JOB ADDRESS "' •
1 ) //4 /.6- /9. 6 &— //4-e-- LEGAL DESCRIPTION — SEE ATTACHED _ p 0,-9A67— 9
LOT BLOCK SUBDIVISION PARCEL NUMBER/S �(
2. ) /J 2 6479.
OWNER PHONE
�J
3.
ADDRESS ZIP Required Set Backs in Feet
North 'South East (West
CONT CTOR PHONE Size of Parcel Zone Classification
4. o� cZ,- om ���e 0 3* * 3.0 0
ADDRE g ZIP Type Const. Occupancy Sprinklered
Oyes ❑Na ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. * 3 0 0 N
5. 5 ZIP DWL Area Basement Area Garage Area Storage 5 6 1
07- 17-79
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. R 6479.
No.Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF �--�I ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK
CI BLD. i�PLMB. ❑ MECH: ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK
8 FEES COLLECTED
VALUATION Source GAS - ELECTRIC 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
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
SEPA cp
1-
Planning U
w
0
Mobile Home
Fire Marshall z
Co. Engineer Other (Specify)
Utilities TOTAL $ 2
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist /'7 s I THIS B'EECO1MES A PERMIT.
DATE 7-17-77 OFFICIA '// ,' i�1�/ O / - 1 7._7 9 5 6. 2 2 * 3. 0 0 2 1-
APPROVED FOR ISSUANCE