1979, 07-17 Permit: 79-568 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
VALUATION
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARWTO MAKE 4 COPIES
OF GAS
JOB ADDRESS—/ - rJ
a� ,
G
LEGAL DESCRIPTION -SEE ATTACHED
1
of
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
Single $
I
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
law or the
OWNER
give
PHONE
performance of construction.
3.
ADDRESS
Mech.
SPECIAL APPROVALS
ZIP
Required Set Backs in Feet
DEPT. REQ'D. RECD.
Plan Check
Env. Health
North South
East West
CONTRACTOR
Planning
PHONNEEL
Size of Parcel
Zone Classification
Mobile Home
Fire Marshall
Other (Specify)
4.ADDR
5/�
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes [:]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
F
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE El NEW ❑ ALT. ElAD'N.
❑ RPL.
ElMVE.
7,
OF
1:1 BLD. IA PLMB. ElMECH:
[jM.H.
01 OTHER
El POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK I
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8.
VALUATION
Source
OF GAS
ELECTRIC
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
law or the
to authority to violate or cancel the provisions of any other state or local regulating construction
give
plumbing
performance of construction.
DATE SIGNATURE
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
PERMIT NUMBER
-er(�
DATE
4�7 i/117
03* *3.00
*3.00
567
07-17-79
2 6479,
Utilities
TOTAL $-3
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES
EECOMES APERMIT.
SEPA Checklist DATE —/—/7--7f OFFICIAL0 ! -1/ —7 7 / U. 0 Cl U
F -
APPROVED FOR ISSUANCE