1983, 01-20 Permit: 83A-0494 Water SoftenerPLAN NUMBER APPL ICAT ION /PERMIT PERMITNUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY &3 -
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.,
1 S. 5019 Marble Ct.
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
7. OF El OTHER
2.
I
I
WORK El BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El POOL
OWNERPHONF�
Required
Yes❑ No❑
'�+lilliarr. D. Adams 777�
3.
927-''x44
Received
Yes❑ No❑
MAILING ADDRESS
ZIP
Actua Set Backs In Feet to:
Same
99205
North South East West
Received ❑
CONTRACTOR
LICENSE EXPIRES
PNQf!!O�O
Size of Parcel
Zone Classification
Baal
+'
`
Soft later Service Co.
4.
FEES COLLECTED
4j
I UTILITIES
❑
r
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 25 Third Ave.
99202
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
Dyes ❑No ❑Req'd.
Building
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
SIGNATURE OF Soft Water Service Co.APPLICATION 112 8
� �
OWNER OR AGENT DATE
Mach.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROMTO
Cover Deck
Uncv. Deck
Fin. Basement
Unf in. Basement
6.
PRELIM. FINAL DATE
Health
Planning
Prevent
Plans
Exam.
Building I
Tech. Z!7
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 $ r
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
0 1 -2 0 -8 5
DATE ISSUED
a9.4z
PERMIT NO.
* 5.0 0 °
TOTAL
r
C
C
L
L
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE IN NEW El ALT. 13 AD' N. El RPL. El MVE.
7. OF El OTHER
WORK El BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El POOL
Certif I. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
DESCRIBE WORK
8•
Shorelines/ Flood Hazard
Plans Required ❑
Water Softener
Yes❑ Not Applic. ❑
Received ❑
VALUATION
SOOURCE
GAS
ELECTRIC
PUBLIWATC ❑ _[
SE TIC ❑
Ownership
FEES COLLECTED
9
I UTILITIES
PRIVATE ❑
SEWER 1:1Public
❑Private El
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
Building
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
SIGNATURE OF Soft Water Service Co.APPLICATION 112 8
� �
OWNER OR AGENT DATE
Mach.
PRELIM. FINAL DATE
Health
Planning
Prevent
Plans
Exam.
Building I
Tech. Z!7
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 $ r
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
0 1 -2 0 -8 5
DATE ISSUED
a9.4z
PERMIT NO.
* 5.0 0 °
TOTAL
r
C
C
L
L