1982, 11-30 Permit: 82B-1484 Water SoftenerPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
I V j NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. E. 16312 Longfellow
2. LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION:
OWNER PHONE PHONE
3 Randall Goff 1 922-2875
MAILING ADDRESSZlp9
Actual Set Backs in Feet to:
Same
yg 21
North South East
West
CONTRACTOR
Soft relater Service Co
LICENSE EXPIRESP
TT -8050
Size of Parcel
Zone Classification
I I
Residential ❑
Canmerclai ❑
4
AD D'rss 25 Third Avenue
2 9202
rypec«,et. Occupancy
�rDNor�
Dyes ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑NEW 11 ALT. E3 AD'N. C3 RPL. 11 MVE.
7. ❑OTHER
-1
WORK ❑ BLD. IX PLMB. El MECH. El M. H. El POOL
Certifi.ofExempt.
Required
Yes Na❑
Number
or Variance
Received
Yes❑ No E-1
DESCRIBE WORK
8. Soft 'Water
Shorelines/ Flood Hazard
Plans Required ❑
Yes Not Applic. ❑
Received ❑
VALUATION
9•
I SOOURCE
GAS
ELECTRIC
PUBD
SEPTISEWAGE
Ownership
FEES COLLECTED
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
1 hereby certify that 1 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
Plumbing 00
SIGNATURE OF Soft Water Service Co APPLICATION 11/30/82
OWNER OR AGENT DATE
Mach.
SPECIAL APPROVALS
PRELIM. FINAL D
Env. Health
Planning
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
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ 5.00 I
WHEN MACHINE VALIDATED IN TAH
THIS BECOMES A PERMIT.
PERMIT NUMBER
0%F5- i
4_?:>4
DATE'IIED 0_" 2 PERMITIN9.8, 4 z * 5, 0 0 T(#AL
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