1980, 01-15 Permit: 80-0183 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. 9612 Archery
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER /S
OWNER
Byron Rhoades
ADDRESS
Same
PHONE
922 -1231
ZI P
99206
4.
CONTRACTOR
Soft Water Service Co.
ADDRESS
E. 25 Third Ave.
PHONE
99202
ZIP
455 -8050
Required Set Backs in Feet
North 'South
East (West
Size of Parcel 1 Zone Classification
Type Const.
Occupancy
Sprinklered
Oyes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1Building Area in Sq. Ft.
ZI P
DWL Area l Basement Area
Garage Area Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
7.
TYPE
OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
LLJ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. 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 1/1+/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
SPECIAL CONDITIONS:
DATE
OFFI
APP'S ! IR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
a-O
TOTAL $ -''
DATE
PERMIT NUMBER
03*
*3.00
*300 '-
*3.006
E *000
18,28
01 -15 -80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01-$ 0' -
18,32 3,002
DATE REMARKS
RECORD OF INSPECTIONS
•)'
Final Inspection
INSPECTED BY
Rcr-16:
J J
E
0 '3