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1981, 01-29 Permit P81A-0997 Wtr SoftenerPLAN NUMBER APPLIRAT-IVF1/ rCr1ml 1 SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. LOT 2. BLOCK '1/4// 7 `, /e/e )& SUBDIVISION 3. OWNER P NE LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S ADDRE 4/i/i 7 F.-0QR. et CON 'ACTOR 4. I� e,(tf S 7© 5' ADDF,7SS DESIGNEF CHANGE OF USE FROM 6. TYPE 7. OF WORK 8. 9. TO ZIP PHON PHONE ZIP -NEW ,❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ BLD. MECH. ❑ M.H. ❑ POOL DESCRIBE WORK VALUATION SOURCE OF UTILITIES GAS 0 OTHER Actual Set Backs in Feet North `South East 'West Size of Parcel Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. Main Floor Upper Floors Garage Area Storage Area of Decks No. Baths Finished Basement No. Stories No. Rooms Unfin. Basement No. of Dwellings '-:),.61-.71eA' 5eC'.e,o e,< ELECTRIC 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 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. SEE REVERSE SIDE FOR REQUIRED INSPECT! S DATE OF APPLICATION ! CAO fj SIGNATURE OF APPLICA WATER SEWER CERTIFICATE of EXEMPTION Enum. Dist. I Location (Area) Ownership Public ❑ Private ❑ USE CODE Req'd. SPECIAL APPROVALS NAME DA -TE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL 03* 45.00 *5,00 U) *5.006 A *GOO 99.6R 01'-29-81 2 6479: WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ilding Te 'f ian PERMIT IS NONTRANSFERABLE 01-2 9-81. PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 99.7z PERMIT NO. *5c00n• T O 1 Ai