1981, 01-12 Permit App: 81A-347 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 3 COPIES
JOB ADDRESS
E. 17317
LOT BLOCK SUBdIVISION
OWNER
CHARLES T . GRUBBBS
3.
4.
ADDRESS
S
A VI ,
CONTRACTOR
SOFT WATER SERVICE CO.
ADDRESS
E. 25 3rd Ave
DESIGNER
9Z2E2778
ZIP
es lAa 99016
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
5' ADDRESS
• 6.
CHANGE OF USE FROM
TYPE
7, OF
WO RK
❑ NEW
❑ BLD.
❑ ALT.
i PLMB.
PHONE
455 -8050
ZP9202
PHONE
ZIP
TO
LXAD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Actual Set Backs in Feet
North 'South
Size of Parcel
Type Const.
'East (West
Zone Classification
Occupancy Sprinklered
Oyes ENo ❑ Req'd.
Valuation
Building Area in Sq. Ft.
Main Floor Upper Floors Garage Area
Area of Decks
Storage
Finished Basement
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
8.
DESCRIBE WORK
WATER SOFTENER
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
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— 1 %81
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ing Techni
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
. 3L
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
3.00
$ 3.00
F
PERMIT NUMBER
80A- 3L7
03* *3.00
*3.00
*300
A *0,00
346s
01 -1 2 -81
z 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 t 1 Z -41, 34,7i
DATE ISSUED
PERMIT NO.
*3J0
TOTAL