1980, 10-31 Permit: 80B-3034 Water SoftenerPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
1-14R. TO MAKE 3 COPIES
ADDRESS A
JOB DDD
B A RESS
�
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
4' ADDR SS
ZIP
PARCEL NUMBER/S
2.
I
ISUBOTVISION
I
VWNER
t
PHONE
:�.,= D
3.,LL'c%j
✓� f.+
Valuation
it
5.
ADDRESS
f
,,
ZIP
-fir:
Actual Set Backs in Feet
/I
A (,�(%`j
`��
/, '_� 7, ✓ ,r °..,
I Storage
North South East West
CONTR CTOR
PHONE
Size of Parcel
Zone Classification
4' ADDR SS
ZIP
Type Const.
Occupancy
Sprinklered
i _
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑NEW 1-1 ALT. El AD'N. El RPL. El MVE.
7, OF ❑ OTHER
❑ BLD. )(l PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
SCRIBE WORK
_ (, �.
Enum. Dist. Location (Area)
FEES COLLECTED
$ , .
l v' l 1V1
VA ATION
SOURCE
GAS
ELECTRIC
WATER
SEWEROwnership
l
USE CODE
9.
OF
UTILITIES
I
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
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
o
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION Z 4-2 '� " SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
nv. Hez
anning
ire Mar
Engineer
lities
ns Examiner
PA Checklist
ildin,p Technicia PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ �'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10;1731- b 10141
DATE ISSUED PERMIT NO.
3.00°a-�J-
TOTAL