1980, 04-21 Permit: 80-3716 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 1509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. S. 2419 Dishman—Mica Rd.
LEGAL DESCRIPTION - SEE ATTACHED
2.
3
LOT
BLOCK
SUBDIVISION
OWNER
Duff Evans
PHONE
928-6512
PARCEL NUMBER/S
ADDRESS
Same
ZIP
99206
4.
CONTRACTOR
Soft Water Service Co.
PHONE'
455-8050
ADDRESS -
E. 25 Third Ave.
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
❑Ves ❑No 0 Req'd.
Valuation Building Area In Sq. Ft.
DWL Area I Basement Area Garage Area Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
PLMB.
❑ AD N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ 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 applica ion 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 4/14/80 SIGNATURE Soft Water Service Co.
DEPT.
SPECIAL APPROVALS
REO'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
HOME OWNER'S WARRANTY
YES O
NO ❑
SPECIAL CONDITIONS:
DATE
OFFICIAL Q.Ctkla..AA/Orn.
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
PERMIT NUMBER
"P-$b-?21liv
1,103
75.00
Pr 3.00 to
A' stet) p
* 3 too
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
rfM- 2`1;' 'x` Oi