1983, 01-20 Permit: 83A-0500 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTM JT'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
E. 11836 Empire
LOT
BLOCK
•
PARCEL NO.
SUBDIVISION
3
4.
OWNER
Charles R. Melaas
PHONE
PH NE
92 7889
LEGAL DESCRIPTION:
MAILING ADDRESS
E. 11836 Empire
CONTRACTOR
Soft Water Service Co.
ZIP
99206
Actual Set Backs in Feet to:
North . 'South East 'West
LICENSE EXPIRES
PHONE
455-8050
Size of Parcel I Zone Classification
Residential ❑
Commercial ❑
ADDRESS
E. 25 Third Ave.
ZIP
99202
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑Req'd.
5.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE ff NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7 OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 0 POOL
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes❑ No❑
Number
DESCRIBE WORK
8. Water Softener
Shorelines/Flood Hazard
Yes Not Applic. ❑
Plans Required ❑
Received ❑
VALUATION
9.
SOURCE
F
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
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 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 OF Soft Water Service Co. APPLICATION 1/4/83
OWNER OR AGENTDATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
-O Q
03* *5.00
*5.006.
A *000
49.92
'01-20-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEISSUEQ O a,8) PERMIT N.O. O z
*5. O O f7dTAL