1980, 09-08 Permit: 80-9735 Water SoftenerPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENTS �q73
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
1. e - !! d 3-7 7W
LOT I B O K ISUBDIVISION I PARCEL NUMBER/S
OWNER
3.�
ADDRESS
e. m
CONNT_RAC-
e
1-7
4' ADD E
6. z�
DESIGNER
5. ADDRESS
R
^0
CHANGE OF USE FROM
6.
74
TO
PHONE
9u-
ZIP
9qzcc
Actual Set Backs in Feet
North South East West
PHONE
Size of Parcel
Zone Classification
ZIP
1?t?ZZ15Z
Type Const.
Occupancy
Sprinklered
Dyes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
I Storage
Area of Decks
I Finished Basement
Unfin. Basement
TYPENo. Baths No. Stories No. Rooms No. of Dwelling
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OFJ 11OTHER
WORK El BLD. V PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'c
of EXEMPTION
DESCRIBE WORK Enum. Dist, I Location (Area)
8. &.,+f7ee FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES 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 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 then ,dam
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
nv. Health
anning
t -o. tngineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
hnician PERMIT IS NONTRANSFERABLE
f. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTA L $ 3-0<7
7* *3.0
A�`' s
* ,00�
E C
97 %_
09-0`>-'C
6,479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09 08'-t8,0 9735°
DATE ISSUED PERMIT NO.
*3.00aIJ-
TOTAL
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