1981, 01-12 Permit: P81A-349 Soft WaterPLAN NUMBER APPLICATION/ PERMIT
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
1. 26th AVENUE, E. 13611 LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
OWNER
PHONE
3. RANDY A. SCHULTZ
922-1105
ADDRESS
ZIP
Actual Set Backs in Feet
SAME
99216
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
SOFT SERVICE CO
455-8050
4
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
ig 25 Third Ave
99202
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
rJ.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENo.
❑ NEW ❑ ALT. � AD'N. ❑ RPL. EJ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellinc
7. OF ❑ OTHER
❑ BLD. KI PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'c
WORK
of EXEMPTION
I
DESCRIBE WORK SOFT VWER +TWICE
r['.
Enum. Dist. Location (Area)
FEES COLLECTED
8.
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
I
Public El 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
I
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing 3.00
DATE OF APPLICATION 1/12/81 SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE 7 Plan Check
Env. Health � fI? ��1i'— r
SEPA
Planning
Fire Marshall I Mobile Home
Co. Engineer Other (Specify)
Utilities
Plans Examiner
ng Tec — an PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Z nn
TOTAL $
PERMIT NUMBER
P
�/A —349
C *3.00
*3,00
*3,00
A *a00
34.82
01-12-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 l 12-8`1' 3 Q9 Z
DATE ISSUED PERMIT NO.
*5.00°aPj
TOTAL