1979, 07-17 Permit: 79-584 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
!EF
DATE
03* *3.00
*3.00 N
5a32
07-17-79
R 6479,
VALUATION Source GAS 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. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities 410
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist fIATC // ]r •///� TH ISffOlA REjM IT. _8� ti
o
////y1
APPROVED FOR ISSUANCE
*3000
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
-a f�
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
OWNER
PHONE
3.
ADDRES
ZIP
Required Set Backs in Feet
North South
East West
CONTR CTOR
e
PHONE
Size of Parcel
Zone Classification
43 - 2116
4.
ADDR
ZIP
Type Const.
Occupancy
Sprinklered
-�77
cZ/
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
ion
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
L Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
plit Entry
[of
Split Level
Rancher
6.
TYPE -1 NEW
❑ ALT. 1:1 AD'N. 1:1 RPL. El MVE.
. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
WORK C"BLD.
1:1 OTHER
XPLMB. ElMECH: ElM.H. 1-1POOLCERTIFICATE
Req'd.
Recd.
Not Req'd.
EXEMPTION
8.
DESCRIBE WORK
FEES COLLECTED
PERMIT NUMBER
!EF
DATE
03* *3.00
*3.00 N
5a32
07-17-79
R 6479,
VALUATION Source GAS 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. RECD. Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities 410
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist fIATC // ]r •///� TH ISffOlA REjM IT. _8� ti
o
////y1
APPROVED FOR ISSUANCE
*3000