HomeMy WebLinkAbout1979, 12-28 Permit: 79-9612 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
PERMIT NUl/M��B�E_R
03* *3.00
*3.00
*3,0065
L *0.00
96 1. 1 -5
1 2-28-,79
6.47y.
VALUATION
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
WATER
JOB ADDRESS
9.
1.
e. e
. i tot
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
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
OWNER
PHONE
Plumbing
3.
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
ADDRESS
DEPT. REQ'D. RECD.
ZIP
Required Set Backs in Feet
Env. Health
North South
East West
CO RACTOR
PHONE
Size of Parcel
Zone Classification
4'
Fire Marshall
Other (Specify)
Co. Engineer
ADDNIP
[J7�
ZIP
Type Const.
Occupancy
Sprinklered
TOTAL $_
Zone Clearance
❑Yes ❑No ❑ Req'd_
WHEN MACHINE VALIDATED IN THIS SPACE,
DESIGNER
/1
THIS BECOMES A PERMIT.
PHONE
Valuation
Building Area in Sq. Ft.
5.
DATEf�. 1�OFFICIAL Ct;f.v�nuS�t�
,. - ,.,
APPROVED FOR ISSUANCE
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE ❑ NEW El ALT.
ElAD'N. 1:1RPL.
LlMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD. ❑ PLMB.
❑ MECH: ❑ M.H.
❑ POOL
CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
I
of EXEMPTION
DESCRIBE WORK
8
FEES COLLECTED
DATE
PERMIT NUl/M��B�E_R
03* *3.00
*3.00
*3,0065
L *0.00
96 1. 1 -5
1 2-28-,79
6.47y.
VALUATION
Source GAS
ELECTRIC
WATER
SEWER
9.
of
utilities
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
performance of construction.
Plumbing
DATE SIGNATURE—
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA'
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
[J7�
Utilities
TOTAL $_
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
/1
THIS BECOMES A PERMIT.
DATEf�. 1�OFFICIAL Ct;f.v�nuS�t�
,. - ,.,
APPROVED FOR ISSUANCE