1981, 01-12 Permit: P81A-361 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
2.
JOB ADDRESS
LOT
OWNER
E. 11518 BOONE
LEGAL DESCRIPTION - SEE ATTACHED
BLOCK
SUBDIVISION
RICHARD
KILLIAN
PHONE
922-3880
PARCEL NUMBER/S
ADDRESS
ZIP
99206
Actual Set Backs In Feet
North 'South `East 'West
4.
CONTRACTOR
SOFT WATER SERVICE CO.
PHONE
455-8050
Size of Parcel 1 Zone Classification
ADDRESS
E. 25 Third Avenue
ZIP
99202
Type Const.
Occupancy Sprinklered
Oyes DNo 0 Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation (Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE
7. OF
WORK
❑ NEW 0 ALT. CkAD N. 0 RPL. 0 MVE.
0 BLD. PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. SOFT WATER
Enum. Dist.
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 1/12/81
81
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
nn ng
Fire Marshall
Co. Engineer
Utilitie
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Cfl'4' P POC. 3n 181
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing 3 00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 3.00
PERMIT NUMBER
VA -36/
03* *30,0
*3.00 3
*300
A *000
3 6'0 2
01 -.1 2.-8,1
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0;l.i2l g li
DATE ISSUED PERMIT NO.
3 fl1'z;
*300azi,
TOTAL '
>-
0 -
WHEN
0 -