1981, 09-08 Permit: 81A-9025 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. r, I I I y ,dIT, LEGAL DESCRIPTION - SEE ATTACHED
LOT BLO K ISUBDIVISION I PARCEL NUMBER/S
R
3
ADDRESSI
ZIP
Actual Set Backs in Feet
-2-4- :7y-?
-�y
b I'
11, ""�'
North South
East West
CONTRACTOR
'r��
+ Clel few ,
P O
�--�oo
Size of Parcel
Zone Classification
4.
ADDRESS
n fn
ZIP
Type Co7
Occupancy
Sprinklered
-
/
❑Yes []No ❑ Req'd.
DESIGNER
P
NE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROMTO Area of Decks Finished Basement Unfin. Basement
s.
TYPENEW ❑ . ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms No. of Dwellinc
"T
7, OF 1-1OTHER
WORK 1:1 BLD. PLM B. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'c
of EXEMPTION
DESCRIBE W RK^� Enum. Dist. Location (Area) FEES COLLECTED
VALUATION SOU CE AS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES 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 p�
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION le,SIGNATURE OF APPLICANT �m4teA:�� Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE C"�7 Plan Check
Env. Health
SEPA
Planning
Co. Engineer
Utilities
Plans Examiner
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
f 1 PERMIT NUMBER
$ 6k - 90-�- r2
0 D *5.00
h• 00
*500
A *0:00 e
9020
09-08-81
6479.
vo
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
e
8f T91;�b`25 z
DATE ISSUED PERM,
*50qylL