1980, 02-15 Permit: 80-1208 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
4VP 460 - 1aOC6
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARItt-TO MAKE 4 COPIES
03 * * 300
JOB ADDRES
1.
1/3/5 ._ aa0 11
,. wt�.1 LEGAL DESCRIPTION - SEE ATTACHED * 3 0 0 N
LOT BLOCKSUBDIVISION PARCEL NUMBER/S * 3.O 0
2.
OWNER PHONE E n * 0 0 0
3 0�7 ADDRES ZIP Required Set Backs in Feet 1 2 / 2
C�rn • North 'South East (West 0 2- 1 5-8 0
CON TO' 1 t PF-..QAI.p���rs0 Size of Parcel Zone Classification
�c te,Cll •�]/� r��rL/CK..C�//) g 6 4 7 9,
4' ADO .S ,5 /� Z`�`7a�0� Type Const. Occupancy Sprinklered
/(/ ❑Yes No ❑ Req'd.
DESIGNER 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. CIPLMB. CIMECH: 1:1M.H. I: POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
� J�(/.�/�� of EXEMPTION
DESCRIBE WORK ��,�+"�Jy�j / �7 )3 v
$ / FEES COLLECTED
VALUATION Source S 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 o
Planning — L
R
Mobile Home
Fire Marshall Z
Co. Engineer Other (Specify)
Utilities TOTAL $.
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist r_ THIS BECOMES A PERMIT. �,
z� CLQ 0.tw VOtSV S 5
. --' DATE OFFICIAL - '-
APPROVED FOR ISSUANCE