1981, 01-27 Permit: 80-7007 Water SoftenerNUMBLk APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
J NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDI ISIO PARCEL NUMBER/S
2.
O ER PHONE
3.. 9:Z& —/ 7d rP
A DRESS
ZIPS?
Actual Set Backs in Feet
9
North South East West
C
NTRACTO
PHONE
Size of Parcel
Zone Classification
NZ4&
9116
4.
AD ESS
ZIP
Type Const.
Occupancy
Sprinklered
�O
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Ar;T
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No.
Stories
No. Rooms
No. of Dwelling
TYPE [� NEW El ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
❑BLD. PLMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK 14
of EXEMPTION
ESCRILE WORK
Enum. Dist. Location (Area)
-
I
FEES COLLECTED
8
VALfJATION
SOURCEGAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
UTILITIES
Public El Private ❑
Single $
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
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�-d
D
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION /'27 --?l SIGNATURE OF APPLICANT _. _
Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE
Env.
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Building Technician PERMIT IS NONTRANSFERABLE
-T�� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
PI9n Check
SEPA
Mobile Home
Other (Specify)
TOTA L $
P IPERMIT NUMBER
8JI -=5d I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 27-,8T 90.1Z
DATE ISSUED PERMIT NO.
*5.00°0
TOTAL