1980, 03-10 Permit: 80-1989 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 4 COPIES
1.
2.
3.
JOB ADDRESS
N. 5123 Bolivar
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
Carol Scribner
PHONE
924-9692
PARCEL NUMBER/S
ADDRESS
Same
ZIP
Required Set Backs in Feet
North !South East (West
4.
CONTRACTOR
Soft Water Service Co.
PHONE
455-8050
ADDRESS
E. 25 Third Ave.
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
• PLMB.
ZIP
202
PHONE
ZI P
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Size of Parcel Zone Classification
Type Const.
Occupancy
Valuation
DWL Area
Split Entry
IBasement Area
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Split Level
Storage
Rancher
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. 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 2/22/80 ` SIGNATURE Soft Water Service Co.
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
LiiSEPA Checklist
SPECIAL CONDITIONS:
./4:2
DATE
FOR ISSUANCE
FEES COLLECTED
Single $
Building
dO
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
%9`
DATE . /O-€V!J
03*
E
1988R
03-10-80
6.479.
*3.00
*3.00 N
*3006
*0.00 8
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B CO ES A,PURMIT.
0'5-10`-80'
198,92 *3.0,.0°