1981, 08-12 Permit P81A-8046 Soft Wtr Tank4
PLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
KGRIVII I 1,1,1,11-U-1,
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
JOB ADDRESS
E . o522.. EE.(212C It
LOT
BLOCK
SUBDIVISION
OWNER
3. c-ciz C_¢; c k_
ADDRESS
i✓ . iDc_52_7 Er..2Eri
4.
CONTRACTOR
E.-30 PT LL)be-E12_
ADDRESS
DESIGNER
5' ADDRESS
PHONE
az0 51oh
ZIP
PHONE
ZIP
Ci.Cc ZGz
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South lEast 'West
Size of Parcel I Zone Classification
Type Const.
Occupancy
Sprinklered
Oyes ❑No 0 Req'd.
PHONE
Valuation I Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE WNEW ❑ ALT.
7. OF
WORK ❑ BLD. lvr PLMB.
1i
DESCRIBE WORK
8. JDF-1". v``IF1iE2
VALUATION.ISOURCE
OF
9. UTILITIES
TO
LJ AD'N. ❑ RPL. El MVE.
0 OTHER
0 MECH. 0 M.H. 0 POOL
TlA n.: c
GAS
ELECTRIC
WATER
SEWER
Area of Decks
No. Baths
Finished Basement
No. Stories
No. Rooms
Unfin. Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
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 SIGNATURE OF APPLICANT
Req'd.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Req'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing`
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 5 Otj
03* *5.00
*500
*S00c6a
A *0.00
803,3�
08-12-81
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
g 4, el '
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0'8_ 2-81 80465
DATE ISSUED PERMIT NO.
* To AL