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1980, 03-10 Permit: P80-1973 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 JOB ADDRESS 1. E. 11303 LOT BLOCK 2. 3. Boone LEGAL DESCRIPTION — SEE ATTACHED SUBDIVISION OWNER John B. Edson PHONE 926-0151 PARCEL NUMBER/5 ADDRESS Same ZIP 99206 4. CONTRACTOR Soft Water Service Co. PHONE X1455-8050 ADDRESS E. 25 Third Avenue ZIP 99202 5. DESIGNER PHONE ADDRESS ZIP Required Set Backs In Feet North 'South East (West Size of Parcel Zone Classification Type Const. Occupancy Sprinklered ❑Yes DNo 0 Req'd. Valuation Building Area in Sq. Ft. OWL Area I Basement Area Garage Area Storage CHANGE OF USE FROM 6. TO Split Entry Split Level Rancher TYPE 7. OF WORK 0 NEW 0 ALT. 0 AD N. 0 RPL. 0 MVE. ❑ BLD. rM PLMB. 0 MECH: 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Rooms Rec. Room CERTIFICATE of EXEMPTION Req'd. Recd. 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 correc . 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 2/15/8Q SIGNATURE Soft Water Service Co. DEPT. SPECIAL APPROVALS REQ'D. RECD. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE OFFICIAL FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER ¶0—/973 DATE 03* •*300 '*300 N '*300 *GOO 8 1 97.22 03-10`=80 3 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 051;-ti'0:', :t01 197.35 *30LOa°J APPROVED FOR ISSUANCE - 0 U 0- d