1979, 08-15 Permit: 79-6480 Water Softenerr7=
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Re
WORK 1:1 BLD. ❑ MECH: ElM.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK
8.
FEES COLLECTED
DATE
PERMIT NUMBER
;- 0
03* *3.00
*300
to -
3
A *0.00 n
21 9.7;@
08-15-79
;o 61479,
VALUATIONSource GAS ;�CTRIC 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
Co. Engineer Other (Specify)
Utilities TOTAL $�
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist DAT OFF - THIS BECOMES A PERMIT.
0
8 11 /5 7 9�'. 19.8 z
AP R9YE6
FOR ISSUANCE
A
*300°;=
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS �� �I
LEGAL DESCRIPTION —SEE ATTACHED
1
(JS Q�
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
OWNER
P ONE3.
_
ADDRESS
ZIP -��%
Required Set Backs in Feet
North South
East West
CONTRA OR
PHO E
Size of Parcel
Zone Classification
4'
AD , ..�
ZIP '7
,�i
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
\s.,
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 NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Re
WORK 1:1 BLD. ❑ MECH: ElM.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK
8.
FEES COLLECTED
DATE
PERMIT NUMBER
;- 0
03* *3.00
*300
to -
3
A *0.00 n
21 9.7;@
08-15-79
;o 61479,
VALUATIONSource GAS ;�CTRIC 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
Co. Engineer Other (Specify)
Utilities TOTAL $�
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist DAT OFF - THIS BECOMES A PERMIT.
0
8 11 /5 7 9�'. 19.8 z
AP R9YE6
FOR ISSUANCE
A
*300°;=