1984, 04-05 Permit: 84A-2990 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.
STREET ADDRESS
S. k22±x 4216 Hollow Ct.
PARCEL NM,.
LOT
2.
BLOCK
SUBDIVISION
3
4.
5.
6.
OWNER
Regan Hulbert
MAILING ADDRESS
Same
CONTRACTOR
Soft Water Service Co.
ADDRESS
E. 25 Third Ave.
DESIGNER
PHONE
927-8055
PHONE
LEGAL DESCRIPTION:
ZIP
99206
Actual Set Backs In Feet to:
North ISouth
LICENSE EXPIRES
PH 455-8050
Sim of Parcel
kavt
Zone Classification
West
Residential 0
Commercial 0
ZIP
99202
Type Const.
Occupancy
Spr nklered
°Yes ONo OReq'd.
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fln. Basement
Untln. Basement
TYPE X7 NEW
7. OF
WORK 0 BLD.
❑ ALT. 0 AD' N. 0 RPL. 0 MVE.
0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No Fin. Rooms
No. Dwellings
CertlfI. of Exempt.
or Variance
Required Yea° No❑
Received Ves° No❑
Number
8.DESCRIBE WORK
Water Softener
Shorelines/Flood Hazard
Yes❑ Not Apollo. °
Plans Required 0
Received 0
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
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
OWNER OR AGENT DATE 3/1/84
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
&1A -ZAilo
03* *2000
*20.006
A *000
29872
04-05-84
2 6479.
L
O
V
W
—J
LI.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
•
DATEIO.LtrW 5 — 004:
PERMITM 9. 0 Z
*20.000-T^L