1981, 08-12 Permit P81A-8047 Soft WaterAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
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NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
6. \13c,23-
LOT BLOCK
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Feea_L tC La
SUBDIVISION
OWNER
3 _-) ALI< J
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ADDRESS
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CONTRACTOR
So - V�1W;Gfz S�2c;4CF
4' ADDRESS
DESIGNER
5.
ADDRESS
6.
CHANGE OF USE FROM
TYPE
7. OF
WORK
PHONE
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21P
PHONE
ZIP
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PHONE
ZIP
TO
NEW fl ALT. LI AD'N. 0 RPL. ❑ MVE.
❑ BUD. IT,/PLMB. 0 MECH. ❑ M.H. ❑ POOL
DESCRIBE WORK
8. SorT \MIA -TF_i2. TIANo(
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
0 OTHER
SEWER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North !South
Size of Parcel
Type Const. Occupancy
East West
Zone Classification
Valuation
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area
Area of Decks Finished Basement
Storage
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
Enum. Dist. Location (Area)
FEES COLLECTED
Public ❑ Private 01
Ownership 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
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Single $
Building
Plumbing * ✓•O0>
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ S or)
03* *S00
*5.00
*5006
A *0,00
803.2g
08-12-81
g 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2
LL
LL
Building Technician
(9„ey �: g
'08-12-81: 80472 *5,00
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT IS NONTRANSFERABLE
aJ
PERMIT NO TnTol