1983, 11-15 Permit: 83B-1703 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
STREET ADDRESS
S. 825 Edgerton Rd.
LOT SUBDIVISION
BLOCK
PARCEL NO.
3.
OWNER
A. J. Gilbertson
PHONE
927-8001
PHONE
LEGAL DESCRIPTION:
MAILING ADDRESS
Same
ZIP
99212
Actual Set Backs In Feet to.
North I South
4.
5.
CONTRACTOR
Soft Water Service Co.
LICENSE EXPIRES
PH NE
55-8050
Size of Parcel
lil Zone Classification
East
West
Residential 0
Commercial ❑
ADDRESS
E. 25 Third Ave.
DESIGNER
ZIP
99202
Type Const.
Occupancy
Sp nkiered
❑Yes ONo ❑Req'd.
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE N NEW ❑ ALT. ❑ AD' N.
7. OF ❑ BLD. 0 PLMB. 0 MECH
WORK
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL 0 OTHER
No. Batts
No. Floors
No. Fin Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑ Number
Received VesO No❑
8.
9.
DESCRIBE WORK
Water Softener
VALUATION SJOURCE GAS
•UTILITIES
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Shorelines/Flood Hazard
Yes Not Apolic.❑
Ownership
Public 0 Private 0
I hereby certify thot 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 au-
thority 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
SIGNATURE OFSoft Water Service �'o. APPLICATION
OWNER OR AGENTDATE 11/3/83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Pre
Prevent.
Engineer
Utilities
SEPA
Plans
Exam,
Building
Tech
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Req Ired
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
8.38 /703
03* *500
*5.00'6
A *0.00
170.22
11-15-83
2 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE
015-8'3"
PERMIT 6.0. 3 2