1980, 11-24 Permit: P80B-4133 Water SoftenerPLA" NUMBER APPLICATION/ PERMIT — �11 ER �3 �
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB A RESS
j/ -rJ� LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER
PHONE
�"lJ-�
-
3.
, t .53
ADDR S
ZIP
Actual Set Backs in Feet
l�
North South
East West
CONT A� TOR
PH E
Size of Parcel Zone
Classification
4. AbDRE
f7
ZIP
�,
Type Const.
Occupancy
Sprinklered
❑Yes ❑No El 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
6.
TYPENo.
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwelling
7, OF ❑ OTHER
❑ BLD. PLMB. ❑ MI CH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
DESCRIBE WORK
8 /� J
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ICLECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTI LOITIES
Public ❑ 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
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
0 f
�J
�I
DATE nF APPI ICATinN �tf/ �7 StGNATIIRF (-)F APPI ICANT -cam `�
Mech.
SPECIAL APPROVALS i SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
BLIdinWclhnician -
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
G3* *3.00
*3,00
*30064
A *0.00 cc
41322
11-24-80
z 6479.
SEPA
0
U
Mobile Home —Wi
LL
Other (Specify)
TOTAL $ '.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11-14 —8,0 -413.)
DATE ISSUED PERMIa 5
* 'i rfOITAL,