1981, 04-09 Permit: 81A-3304 Water SoftenerPLAN NUMBER PERMIT NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT(f� I
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1.jn .514 2
LOT BLOCK ISUBL)IVISIONPARCEL DUMBER/S
2.
OWNER PHONE
3. 92 - '"t/
ADDRESS
ZIP
Actual Set Backs in Feet
�.• /. +�/
o
/ 7 2/�
North South East West
CONTRACTOA
PHONE
Size of Parcel
Zone Classification
4.
-[--Occupancy
ADD SS
ZIP
Type Const.
Sprinklered
r
„LQ
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE El NEW 1-1 ALT. El AD'N. 1:1 RPL. 11 MVE.
7, OF El OTHER
❑ BLD. ® PLMB. ❑ MECH. ❑ M.H. ElPOOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
8
FEES COLLECTED
r
VAL-fiATION
SOURCE
GAS ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
1UTILOFITIES1
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
4
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing �7
DATE OF APPLICATION 4—V� SIGNATURE OF APPLICANT
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Heaitn
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
03* *5,00
*5.00
*50061
A *0,00
33032
04-09-81
6.479,
TOTAL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
3 3 Q 4 r
DATE ISSUED PERMIT NO.
0 010"01
TOTAL