1982, 11-30 Permit: 82B-1500 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
STREET ADDRESS
1. S. 1613 Blake Road
LOT
2.
BLOCK
SUBDIVISION
OWNER
? Dennis Bauer
PHONE
MAILING ADDRESS
Same
4.
5.
CONTRACTOR
Soft WAtPr SPrvira Cn
ADDRESS
E. 25 Third Avenue
DESIGNER
LICENSE EXPIRES
PHONE
928-3140
zIP99216
PHONE
455-RflSfl
ADDRESS
CHANGE OF USE FROM
6.
ZIP
99202
PHONE
ZIP
TO
TYPE ❑ NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF 111 OTHER
WORK ❑ BLD. PLMB. ❑ MECH. C1M.H. ❑ POOL
DESCRIBE WORK
8.
Soft Water
VALUATION
9.
SOURCE
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet 1o:
North 'South
East West
Size of Parcel
Type Const.
Occupancy
New Const. Valuation
Main Floor
Zone Classification
Residential !-:
Commercial I
Spr'nklered
❑Yea 0 N ❑Req'd.
Remode ed Valuation
Upper Floors (Garage/Storage
Cover Deck
No. Baths
Uncv. Deck
No. Floors
Certifi. of Exempt.
or Variance
Total Bldg. Floor Area
Greenhouse
Fin. Basement
No. Fin. Rooms
Required Yes❑ No El
Received Yes❑ Non
Shorelines/Flood Hazard
Yes ❑ Not Apollo. ❑
Ownership
Public 0 Private 0
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 11/30/82
OWNER OR AGENT DATE
SPEZIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
ti
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required :J
Received
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
5.00
TOTAL $ 5.00
PERMIT NUMBER
03* *500
*500
A *0.00 0
1 49.98
1 1 '-30-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE1 1 Eb5 0 - 8 2
PERMIT"NO.' a Z
*5.0 0
O J
9� *AL