1981, 03-10 Permit P81A-2247 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 3 COPIES
JOB ADDRESS
g/ 1 �.) .4.. �.
L.T BUCK
JUbUIVISUON
OWNER pp
3. ia��Gf„et 4,,y-i i
ADDRESS 4 )
'l e//I t✓y-e_'e-7(-- tau?, e�;;4fo ,
CONTACTOR / p
4. A4- t) j✓G,t2 f �J.P„/0..6.cL'C-D
pD ESS
DESIGNER
5. ADDRESS
PHONE
g.;ZL-
ZIP
I9to6
PHONE
ZIP
99 i
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
East
West
Size of Parcel Zone Classification
Type Const.
Occupancy Sprinklered
Des ❑No ❑ Req'd.
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
DESC IBE WORK
8. ,n, L., i
VAL,, ATION
9.
❑ ALT.
PLMB.
TO
❑ AD N.
❑ MECH.
GAS
❑ RPL.
❑ M.H.
ELECTRIC
PHONE
ZIP
❑ MVE.
0 POOL
WATER
❑ OTHER
SEWER
Valuation Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
Storage
Area of Decks
Finished Basement Unfin. Basement
No. Baths I No. Stories
No. Rooms INo. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. !Location (Area)
Ownership
Public ❑ Private ❑
Req'd. Rec'd. Not Req'd.
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 s /e) S/ SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ �5
PERMIT NUMBER
/A4
06*
*5.00
*5,00
*5,006
A *0,00
2'24.6A'
03-10-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Te$hnici
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
22 47'Z *5,0 0 -
PERMIT NO. TOTAL