1980, 04-30 Permit: P-80-4166 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
1.
2.
3.
JOB ADDRESS
N. 5416 Bannen Rd.
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
James W. Jarman
PHONE
924 -8440
PARCEL NUMBER /S
ADDRESS
Same
ZIP
99216
Actual 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.
ZIP
99202
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation 1 Building Area in Sq. Ft.
ZI P
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
�}5 ❑ OTHER
❑ BLD. LV PLMB. ❑ MECH. ❑ M.H. ❑ POOL
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
No. Rooms
No. of Dwellings
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Water Softener
VALUATION
9.
Enum. Dist.
ILocation (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
I hereby certify that 1 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
4/15/8o
SIGNATURE OF APPLICANT Soft Water Service Co.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ing e hnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT NUMBER
03* *3,00
*3.00 V)
*3.006
E *000
41652
04 -30 -80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 `4.s -x!310 L- 0
DATE ISSUED
416,6 z
PERMIT NO.
*3,00
TOTAL