1981, 03-12 Permit P81A-2241 Soft Water'PLAN NUMBER
APPLICATION/PERMIT
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./1//1v4 e
LOT
BLOCK
DIV1
lON
2.
3. N2 (7 , /„/
ADDRESS
5.
C'NTRCTOR
ADD • ESS
r
DESIGNER
PHONE
ZIP
PHONE
ZIP
y y -1)Z
PHONE
North
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER'S
Actual Set Backs in Feet
'South East
'West
Size of Parcel Zone Classification
Type Const.
Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
9.
❑ NEW
❑ BLD.
❑ ALT.
PLMB.
ESCRIBE W
I �f1.
VAILUATION
SOURCE
OF
IV ILITIES
GAS
❑ AD'N.
O MECH.
❑ RPL. ❑ MVE.
0 OTHER
❑ M.H. ❑ POOL
ELECTRIC
WATER
SEWER
No. Baths
No- Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
Req'd.
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 INSPECTIONS
DATE OF APPLICATION -,77"./6) '4 / SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
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
PERMIT NUMBER
g/A -
03* *5,00
*5.00
*5.006
A *0,00
224.0
03-10-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Bu ldin Te hnici
PERMIT IS NONTRANSFERABLE
03-1& 81°
2241z *5.00-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL