1980, 07-17 Permit: 80-7250 Water SoftenerPLAN NUMBER APPLICATION/PERMIT—PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT A
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK' ISUBDI I ION F,ARCEL 4IUMBER/S
OWNER
PHONE
3.
ADINRESS
ZIP�,,
Actual Set Backs in Feet
�/Z}}!
North South East West
io
CONT CTOR
PHONE'
Size of Parcel
Zone Classification
4' ADDRES
ZIP
Type Const.
Occupancy
Sprinklered
�7 `
�+C J
Dyes [-]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. Basement
6.
I
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE L1 NEW F-1 ALT. El AD'N. El RPL. 1-1 MVE.
7, OF �/ ❑ OTHER
❑ BLD. ) -PLMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
EL TRIC
WATER
SEWER
Ownership
USE CODE
9.
I UTILOITIES
Public C1 Private ❑
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
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
�1
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing sL—
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVAL
PECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
o. Engineer
Utilities
Plans Examiner
n r PERMIT IS NONTRANSFERABLE
? PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
2
TOTAL $
03* *3,00
*3.00
*3.006
E *0.00
724,9:2
07-17-80
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
U7-17'-8� 725.0
DATE ISSUED PERMIT NO.
*3,00Vol�
TOTAL