1980, 08-19 Permit: 80-8767 Water SoftenerPLAN NUMBER
• APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 -COPIES
1.
2.
3
JOB ADDRESS
LOT
BLOCK
FREDERICK, E. 11315
SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER G. CHESTER r.TT.T.y
P 6135
PARCEL NUMBER/S
ADDRESS
ZIg9206
Actual Set Backs in Feet '
North 'South East (West
4.
CONTRACTOR
SOFT WATER SERVICE CO.
PHONE
455-8050
Size of Parcel 1 Zone Classification
ADDRESS
E. 25 3rd Avenue
ZIP
99202
Type Const.
Occupancy
Sprinklered
❑Yes Ohio O Req'd. •
5.
DESIGNER
PHONE
Valuation (Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
• Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
O NEW
❑ BLD.
0 ALT.
$I PLMB.
O AD N.
O MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
WATER SOFTENER
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public D Private 0
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION___849/20 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
kJ II es
Plans Examine
SEPA Checklis
Clan
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
3.00
3.00
TOTAL $
PERfvjIT NUMBEy2
oQ6 CG
'767
03* *3.00
*3.00
*3006
E *G00 8
8766a
08-19-80
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
boa rrl r-1801
DATE ISSUED
8 / U / z
PERMIT NO.
•
*3.00a1-2 —
TOTAL
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