1980, 01-10 Permit: 80-25 Water SoftenerPLAN NUMBER
t
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. 9709 Archery
LOT SUBDIVISION
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER /S
OWNER
John Gilbert, Jr.
ADDRESS
Same
PHONE
926 -0021
ZI P
99206
Required Set Backs in Feet
North 'South [East 'West
4.
CONTRACTOR
Soft Water Service Co.
PHONE
455 -8050
Size of Parcel
Zone Classification
ADDRESS
E. 25 Third Ave.
DESIGNER
5. ADDRESS
ZIP
99202
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
DWL Area I Basement Area
1 Garage Area I Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
OF
WORK
❑ NEW ❑ ALT. El AD'N. ❑ RPL. ❑ MVE.
❑ BLD. • PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
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 12/26/79 SIGNATURE Soft Water Service Co_
SPECIAL APPROVALS
DEPT. REQ'D_ REC'D.
Env. Health
?fanning
re Marshall
'o. Engineer
..Jtilities
Zone Clearance
EPA Checklist
SPECIAL CONDITIONS:
DATE b -30 OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
DATE
PERMIT NUMBER
3*
* 3.00
* 3.00
*3006
E *0.00
24e
01 -10 -80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01 -Ito -801
2.5s5 *5.00E
RECORD OF INSPECTIONS
Final Inspection
DATE REMARKS INSPECTED BY