1979, 08-14 Permit: 79-2118 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DATE
TYPE --NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. KPLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
DESCRIBE WORK
8.
VALUATION Source GAS
OT EXEMPTION
FEES COLLECTED
PERMIT NUMBER
--7
02* *3.00
*3.00 v~i
*3008
A *0.00 C
211.7;s
08-14-79
;F 6479.
of
9, 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�J
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
Co. Engineer Other (Specify)
IC )
Utilities %--
TOTAL $
Zone Clearance -
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist -—THIS�COI�IE,$ A PERMIT.'i
LL7 -P
-'
DATE � (� OFFICIA �`�
APPR €6'fOR ISSUANCE
L
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
!
y
Li�GALbESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
OWNF�il..l.'N�
/
3 ADORE
_
i
ZIP
Required Set Backs in Feet
North South East West
CON RACTOR
ryZI
_
/P% N
Size of Parcel
Zone Classification
4. r{�7GNFR
�/Type
I// ''?❑Yes
Const.
Occupancy
Sprinklered
❑No ❑ Req'd.
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.
7, OF ❑ OTHER
WORK ❑ BLD. KPLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
DESCRIBE WORK
8.
VALUATION Source GAS
OT EXEMPTION
FEES COLLECTED
PERMIT NUMBER
--7
02* *3.00
*3.00 v~i
*3008
A *0.00 C
211.7;s
08-14-79
;F 6479.
of
9, 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�J
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
Co. Engineer Other (Specify)
IC )
Utilities %--
TOTAL $
Zone Clearance -
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist -—THIS�COI�IE,$ A PERMIT.'i
LL7 -P
-'
DATE � (� OFFICIA �`�
APPR €6'fOR ISSUANCE
L