1983, 11-15 Permit: 83B-1713 Water SoftenerPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS
E. 18606 Baldwin Greenacres,
WA
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
3
MAILING ADDRESS
Same
OWNER
Bruce
V. Keister
PHONE
924 -52+39
PHONE
LEGAL DESCRIPTION:
ZIP
99016
Actual Set Backs in Feet to:
North 1South
4.
5.
CONTRACTOR
Soft Water Service Co.
LICENSE EXPIRES
PM-8050
Size of Parcel
LIZone Classification
East
'West
Residential ❑
Commercial ❑
ADDRESS
E. 25 Third Ave.
DESIGNER
ZIP
99202.
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑Req'd.
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage /Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE NEW
7. OF
WORK ❑ BLD.
❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
❑ OTHER
❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
Yes ID No
Yes No
Number
8.
DESCRIBE WORK
Water Softener
Shorelines /Flood Hazard
Yes El Not Applic. ❑
Plans Required ❑
Received ❑
VALUATION
9.
SOURCE
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
Ownership
Public ❑ Private ❑
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 au-
thority 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
SIGNATURE OF Soft Water Service Co. APPLICATION 10X5/83
OWNER OR AGENT DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
87e / % /i
u0* *5.00
*5,006
*0.00
1 71,22
1 1 - 1 5 -83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE SStJED1
— u -,
PERMITNO. _, 3 z
*5.0 u mot-AL