1979, 09-11 Permit: 79-3759 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
7q-37,?
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE g-p-7/C
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 4 * * 3 0 0
JOB ADDRESS
1.
(..72c_; —7'41( i //f LEGAL DESCRIPTION — SEE ATTACHED *3.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3.0 0
2.
OWNS f� PONE E * O,0 0 E
3. it—e......• fj..�4-lt /14%)6/ laa— _ 375,82
ADDRE /j ZI /.,� Required Set Backs in Feet 1 �7 n
• ./�/// Qom , G � 1 North (South East (West 0 9 I - / 7
CONTRAC'fa R PH NE Size of Parcel Zone Classification
.1 , - - Gc.�.,z z 'e9// 7d 4 7 9.
4' AD� eD ZI9/ Type Const. Occupancy Sprinklered
�'7� /7. G 6 ❑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 0 BLD. 'LMB. 0 MECH: ElM.H. I=1POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
/��/ ``� of EXEMPTION
DESCRIBE WORK •
i-
8 ,/7/fir'�i'N1t-CAv FEES COLLECTED
VALUATION Source GA E71:. RIC WATER SEWER
of
9. UtilitiesSingle $
—
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 3
performance of construction.
Plumbing
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
I—
Planning U
LU
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL $-�C76
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE%/�_//— 79OFFICIAL)j J /.44.4./ 0 9 - 1 1 -/`) (�9 1 ). 7 . *3, 0 0 r_ it
APPROVED FOR ISSUANCE —