1981, 07-13 Permit: 81A-6896 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
JOB ADDRESS
1. N. 1425 BOLIVAR
2.
3
LOT
BLOCK
SUBDIVISION
OWNER
MIKE D. KIRSCHNER
ADDRESS
SAME
4.
CONTRACTOR
SOFT WATER SERVICE CO
ADDRESS
E. 25 THIRD AVE
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
PLMB.
PHONE
24-4340
ZIP
99216
PHONE
455-8050
ZIP
99202
PHONE
ZI P
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
Size of Parcel
East 'West
Type Const. I Occupancy
Valuation
Main Floor I Upper Floors
Area of Decks
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
No. Rooms
Req'd.
DESCRIBE WORK
8.
WATER SOFTENER
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 7/13/81 SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
ties
Pians Examiner
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Storage
FEES COLLECTED
Single $
Building
Plumbing 5.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 5.00
PERMIT NUMBER
F/A
03'\ *50
03* ,000
\/ 0.0 0 rn
•.O7-1,3-81
z 6 4 \k9,
03* *5.00
*500
*5006
A *000
689.56
07-1 3-a
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01.-1 3
DATE ISSUED
8
6 8 9,6 a *30,0 pi -
PERMIT NO. TOTAL
FII F rflPY
INSPECTION RECORD
OWNER LOCATION
CONTRACTOR TYPE OF WORK
NSE W
SET BACKS
FINAL INSPECTION:
DATE REMARKS: