1984, 08-17 Permit: 00004209 Water SoftenerPLAN NUMBER APPL LCAT ION /PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY n
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 Gc/4
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREETADDRESS PARCEL NO.
1. 11220 E. 29th U,�,,2 '.8943 �-7o
LOT BLOCK SUBDIv slo LEGAL DESCRIPTION:
2.
1
1 / C'" /�� L-1
Remodeled Valuation
OWNER
PHONE
PHONE
Jon Wicks
927-0028
026-2661
ADDRESS
3.
Main Floor Upper
Floors
Garage/Storage
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
Cover Deck
ncv. Deck
North South East West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential ❑
Soft Water Service
4.
Floors
455-8050
No. Dwellings
TYPE ❑ NEW ElALT. ElAD'N. ElRPL. ElMVE.
Commercial ❑
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E 25 Third Ave.
99202
SEPA
Modular/
empt.
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
�J.
Public ❑ Private ❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
ncv. Deck
Fin. Basement Unfin. Basemk
s.
SPECIAL APPROVALS
T
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑ NEW ElALT. ElAD'N. ElRPL. ElMVE.
7. OF ❑ OTHER
SEPA
Modular/
empt.
Required Yes❑ No❑
Number
❑BLD. � PLMB. ❑ MECH. ❑ M.H. ❑POOL
WORK
oCrVariarroe
Received Yes❑ No❑
DESCRIBEWORK
Shorelines/ Flood Hazard
Plans Required
' 8.
Yes Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS
ELECTRIC
WATER
PUBLIC ❑
SEWAGE
SEPTIC ❑
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
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
Building
work will be complied with whetter specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the p c isions of any other state or local law regulating construction or the performance
of construction. SEE RE RSE E FOR REQUIRED INSPECTIONS
Plumbing 20.00
SIGNATURE OF APPLICATION
8/17/84
Mach.
OWNER OR AGENT DATE
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
SEPA
Modular/
Planning
MFG.Home
Fire
Prevent.
Other (Specify)
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
TOTAL $ 20.00 I
WHEN MACHINE VALIDATED IN TH
THIS BECOMES A PERMIT.
ACE,
DATE ISSUED PERMIT NO. TOTAL
a
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V
W
J
LL