1981, 03-10 Permit: 81A-2253 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
`I, APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
,� 7 � , LEGAL DESCRIPTION — SEE ATTACHED
LOT BL K ISUBDIVISION PARCEL NUMBER/S
2.
O NE PHONE
3. '1J1i �v
DDRESS ZIP Actual Set Backs in Feet
/� r? 7 �- North South East West
CCINTR.Z,kCTOR
PHON,cE-�
Size of Parcel
Zone Classification
4.
ADD SS
ZIP
Type Const.
Occupancy
Sprinklered
✓a
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
s.
TYPE ❑ NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
❑ BLD. PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WOR
Enum. Dist. Location (Area)
8.
FEES COLLECTED
VAL ATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public El ❑
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
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
'
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION "—�� "—� / SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
PERMIT NUMBER
/A
03* *5.00
*500
*50.06'
A *0,00 coo
22522
03-10-81
6479,
Mobile Home
Other (Specify)
l /)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 3j- 2213 z
DATE ISSUED PERMIT NO.
o..
O
U
— W
J
t%
*5.00a� -
TOTAL