1979, 10-11 Permit: 79-5735 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
PERMIT NUMBER
P 9 - 57
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE h0 /1--75�
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
n
J 7 * * �' C
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
1. S. 1317 Mica Park Dr.
70
Q 0
V
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
Z
I
00:
E_ it
0 01
OWNER
PHONE
3 Don Heimerman
924-0399
57 3. 4
ADDRESS
ZIP
Required Set Backs in Feet
Same
99206
North South East West
10-1 1 - 7 9
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Soft Water Service Co.
4 -80 0
2 6/L79,
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 25 Third
99202
1
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE El NEW ❑ ALT. ❑ AD -N. 1:1 RPL. 11MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF❑OTHER
❑ BLD. I PLMB. ❑ MECH:
❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
8. Water Softener
FEES COLLECTED
VALUATION Source
GAS ELECTRIC WATER SEWER
of
J. Utilities
Single $
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 Building
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.
Plumbing s
DATE 9/20/79
SIGNATURE Soft Water Service CO. Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
nnTr�� �� �'7 nFcir•ini �%I.��'I�� a(�A.2�'/Lfi�'/
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THI B CO SA�MIT.
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