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