1981, 11-09 Permit: 81B-1629 Water Softener(PLAN 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
S. 2011 Conklin
LOT
BLOCK
SUBDIVISION
3.
OWNER
Arthur L. Mathis
ADDRESS
Same
Veradale
4.
PHONE
927-8710
ZI 99037
CONTRACTOR PHONE
Soft Water Service Co 455-8050
ADDRESS
E. 25 3rd
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
ZIP
99202
PHONE
ZIP
TO
El NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
❑ BLD. 121 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South 'East West
Size of Parcel
Type Const.
Occupancy
Zone Classification
Sprinklered
Oyes ❑No ❑ Req'd.
Valuation
Main Floor
Upper Floors
Area of Decks
DESCRIBE WORK
8. Water Softener
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
No. Baths
Building Area in Sq. Ft.
Garage Area
Finished Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
Storage
Unfin. Basement
No. Rooms
Req'd.
Location (Area)
Ownership
Public ❑ Private ❑
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 11/9/81 SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
i=n�ties
Examiner
SEPA Checklist
Building echnician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd. Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
5.00
$ 5.00
PERMIT NUMBER
8%3- (( LC1
03* *5.00
*500
*5.006
A *0.00
162.8z
11-09-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'1-09-8°l 16295 *5.002
DATE ISSUED
PERMIT NO. TOTAL