1980, 07-08 Permit: 80-6799 Water SoftenerPLAN NUMBER
APPLICATI N PERMIT
PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
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 ISUBDIVISION
PARCEL NUMBER/S
C. 3 * * 3, 0 0
2.
OWNER
PHONE
* 3, 0 0
3
* 3.0 0 u
ADDRESS
ZIP Actual Set Backs in Feet
' ,%,),1North
South East West
E * 0, 0 0 cc)
CONTRACT R
PHONE Size of Parcel Zone Classification
Sam
R VA
679,88
4. ADDRESS
ZIP Type Const. Occupancy Sprinklered
07-08-80
❑Yes ❑No 11 Req'd.
DESIGNER
PHONE Valuation Building Area in Sq. Ft.
2? 6.479,
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 Dwellings
`
p�
TYPE '1P� NEW 1:1 ALT.
❑ AD'N. El RPL. El MVE.
7, OF
I--] OTHER
❑BLD. 40PLMB.
ElMECH. ElM.H. El POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCR BE WORK
Enum. Dist. I Location (Area)
FEES COLLECTED
8
VALUATION SOURCE GAS
ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES
I
Public ❑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
type of work will be complied with
whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the r
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing ��—
DATE OF APPLICATION
SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
rDU
Mobile Home
Fire Marshall
Co. Engineer
Other (Specify)
Utilities
TOTAL $s�L_
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
B ng Tech i an
PERMIT IS NONTRANSFERABLE`,—�? —' Q 'il
J
7 C, z * 3. O O GO I- —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL