1979, 09-24 Permit P79-4607 Soft WtrPLAN 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 4 COPIES
JOB ADDRESS
LOT B OCK SUBDIVISION
OWN
3.��-�
ADD ES
CONTRA' OR
4.
ADDRESS/
4) .5Yo
DESIGNER
PHONE
( L9%fr
ZIP
PH NE
Z4 ()
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Required Set Backs In Feet
North South
Size of Parcel
Type Const.
East
Zone
West
Classification
Occupancy Sprinklered
❑Yes ❑No 0 Req'd.
Valuation Building Area in Sq. Ft.
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
0 ALT.
PLMB.
ZIP
TO
❑ AD'N.
❑ MECH:
❑ RPL.
0 M.H.
❑ MVE.
O POOL
0 OTHER
DWL Area I Basement Area Garage Area
Storage
Split Entry
Split Level
Rancher
DESCRIBE WORK
VALUATION
9.
Source
of
Utilities
GAS
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
ELECTRIC WATER
X
SEWER
No. Rooms
Rec. Room
Req'd.
Rec'd.
Not 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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $( C )/
p
PERMIT NUMBER
�2/
DATE
035 *5.50
*5,50
*550�
L y, O. 0 0
460,6-
09-24-79
- 6 479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE
OFFICI
PPR06"
A FOR ISSUANCE
09'-24''-719
460,75 *5,5'0;a