HomeMy WebLinkAbout1979, 12-28 Permit: 79-9608 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
LEGAL DESCRIPTION — SEE ATTACHED
1.
o
LOT
BLOCK
SUBDI ISION
_
PARCEL NUMBEF'/S
2.
I
OWNE
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
PHONE
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
3.
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.
—
DATE SIGNATURE
ADDRESS
SPECIAL APPROVALS
SPECIAL CONDITIONS:
ZIP
Required Set Backs in Feet
Plan Check
Env. Health
North South
East West
O RACTOR
PHONE
Size of Parcel
Zone Classification
4.
Other (Specify)
Co. Engineer
ADD
ZIP
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 El NEW
1:1 ALT.
1:1AD'N. El RPL.
ElMVE.
7, OF
❑ OTHER
E:1BLD.
EJPLMB.
E:1MECH: ElM.H.
ElPOOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
8
FEES COLLECTED
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
of
9,
Utilities
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
performance of construction.
Plumbing
DATE SIGNATURE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
Zone Clearance I
SEPA Checklist
DATE/ OFFICIAL .v
APPROVED FOR ISSUANCE
PERMIT NUMBER
DATE
03* *300
*3.00 N
*300
E *0,00
960,7
12-28-79
z 6479,
C7p
TOTAL $.y_
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
CU,I -
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