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1980, 02-15 Permit: P80-1242 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 S. 2110 Conklin Rd. Veradale LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S 3. OWNER Roger E. Moss ADDRESS Same PHONE 928-7261 ZIP 99037 Required Set Backs in Feet North 'South East West 4. CONTRACTOR Soft Water Service Co. ADDRESS E. 25 Third Ave. DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. TYPE 7, OF WORK ❑ NEW ❑ BLD. ❑ ALT. a PLMB. PHONE 455-8050 ZIP 99202 PHONE ZIP TO ❑ AD'N. ❑ MECH: ❑ MVE. ❑ POOL Size of Parcel Type Const. Occupancy Zone Classification Sprinklered ❑Yes No ❑ Req'd. Valuation DWL Area No. Baths Basement Area Building Area in Sq. Ft. Split Level CERTIFICATE of EXEMPTION Storage Rancher Rec. Room DESCRIBE WORK g, 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 1/30/80 SIGNATURE Soft Water Service Co. DEPT. SPECIAL APPROVALS REQ'D. REC'D. Env. Health Planning Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL CONDITIONS: DATE 41) OFFICIAL QMH APPROVED FOR ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL aO $ DATE (PERMIT NUMBER P -coo—% 4 — *3.00 *3.00 67) *3.006 E *0.00 124.1 02-15-80 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THISE9OM S A. ERMIT. 0�`2-15-d 12422 *3000