1981, 07-13 Permit: 81A-6898 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3_COPIES
JOB ADDRESS
1.
S. 1122 HOMESTEAD
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
3.
4.
OWNER
MARTY L. BLUM
ADDRESS
PHONE
928-7121
SAME' VERADALE
CONTRACTOR
SOFT WATER SERVICE CO •
ADDRESS .
E. 25 THIRD AVE
ZIP
99037
Actual Set Backs In Feet
North 'South East 'West
PHONE
455=8050
Size of Parcel - 1 Zone Classification
ZIP
99202
Type Const.
Occupancy Sprinklered
Dyes DNO 0 Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation - 1 Building Area In Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
- Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
TYPE
7. OF
WORK
D NEW 0 ALT.
D BLD. Yf PLMB.
O AD N.
O MECH.
O RPL.
D M.H.
D MVE.
D POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. WATER SOFTENER
Enum. Dist. I Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
1 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 713781 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
, Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing 5.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
5.00
TOTAL $
PERM!NLJMIIER
iO 8i4 4848
03* *500
*500 bi
*500'6
*Q00
689,72
07-13-81
2 6479,
689.82
07-13-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
6 8`9.8'Z
PERMIT NO.
*5,0,0 a1-
TOTAL
›-
0 -
WHEN
S