1980, 04-01 Permit: 80-2966 Water SoftenerPLAN 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
1.
2.
3.
JOB ADDRESS
E. 11710 Alki Rd.
LOT
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
PARCEL NUMBER /S
OWNER
Jerry J. Miller
ADDRESS
Same
PHONE
928 -8472
ZI P
99206
Required Set Backs in Feet
North 'South [East (West
4.
CONTRACTOR
Soft Water Service Co.
ADDRESS
E. 25 Third Ave.
DESIGNER
PHONE
455 -8050
Size of Parcel
Zone Classification
ZI P
99 ?0?
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area
Garage Area I Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ OTHER
❑ BLD. PLMB. ❑ MECH: ❑ M.H. ❑ POOL
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
8.
DESCRIBE WORK
Water Softener
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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 3/25/80 SIGNATURE Soft Water Service Co.
SPECIAL APPROVALS
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
�HOME OWNER'S WARRANTY -`
YES U
SPECIAL CONDITIONS:
DATE
OFFICI
APPRO!r'i FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
PERMIT NUMBER
go
3* *3.00
*3.00
*3.008
E *0,00 ES
296.5
04 -01 -80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'04 -01 9
296.62 *3.00°H
DATE REMARKS
RECORD OF INSPECTIONS
Final Inspection
INSPECTED BY