1980, 01-15 Permit: 80-0205 Water SoftenerPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. 30th AVENUE E. 11903 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
8.
VALUATION
Source
GAS
ELECTRIC
WATER
OWNER
of
PHONE
R, W.
GASTO�J
Single $
3
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
ADDRESS
performance of construction.
ZIP
Required Set Backs in Feet
SPECIAL APPROVALS SPECIAL CONDITIONS:
SALIE
Env. Health
SEPA
North South
East West
CONTRACTOR
Fire Marshall
PHONE
Size of Parcel
Zone Classification
OFT
WATER SERVICE
CQ-
456-ROEO
WHEN MACHINE VALIDATED
1
4.
ADDRESS,
01.5
ZIP
Type Const.
Occupancy
Sprinklered
E 25
3rd
qWnn
I ❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE
FROM
TO
Split Entry
Split Level
Rancher
6.
�
No. Baths
No. Floors
No. Rooms
Rec. Room
TYPE .❑ NEW
❑ ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
],
OF
❑ BLD.
® PLMB.
❑ MECH: ❑ M.H.
❑OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK,,
of EXEMPTION
PERMIT NUMBER
1/15/80
03* *3.00
*3,00
*3.006
E *0.00 00
20.49
01-15-80
;H 6479.
DESCRIBE WORK MATER SOFTENER FEES COLLECTED
8.
VALUATION
Source
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
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
Plumbinge—
performance of construction.
DATE SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
3'00
TOTAL $
Zone Clearance
IN THIS SPACE,
WHEN MACHINE VALIDATED
SEPA Checklist THIS r1 BECOMES A PERMIT.
1'-I 5'
I7ATF / /r FICIAL_ OF _ � �1 `
01.5
7APPR(16-F4 ISSUANCE
A