1980, 09-08 Permit P80-9730 Wtr SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY -- BUILDING CODES DEPARTMENT
PERMIT NUMBER
80-97.3o
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
4.
JOB ADDRESS
LOT
1/ of B 47/1,-5
BLOCK SUBDIVISION
OWNER
/✓✓G C r? UST o,(3, c e Pf7,2.*
ADDRESS
_ //q20 44)5f/6G,o
CONTRACTOR
SDFy k/fi c e SE/2L4CE
ADDRESS
g . 2S
DESIGNER
5. ADDRESS
PHONE
yz6
ZI P
CIqzo
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South
Size of Parcel
East
West
Zone Classification
ZIP
r/4'eo z
PHONE
Type Const.
Valuation
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
•ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
DESCRIBE WORK
8. LUi 7-6— E.e
NEW
❑ BLD.
❑/ALT. ❑ AD'N.
0PLMB. El MECH.
❑ RPL_
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
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
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ vc)
03* *3.00
*3.00 16-1
*3.008
E *0,00
972,72
09-08-80
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building clinician
V5%8o
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0 9 -0 $4'8)0
DATE ISSUED
973.05
PERMIT NO.
*3,00°I-
TOTAL