1979, 10-26 Permit: 79-6804 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
( 3 * * 00
JOB ADDRESS
1. S. 1410 Mica Park Dr.
LEGAL DESCRIPTION — SEE ATTACHED
it `1 0
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
* z " , 1U
E 0 r. r?
L
OWNER
PHONE
Ron A. Larson
924-1723
3
6 8 a 7j q
ADDRESS
ZIP
Required Set Backs in Feet
Same
99206
North South East West
10-26-79
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Soft Water Service Co.
45,5-80504
7 9.
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 25 Third Ave.
99202
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
DWL Areal
Basement Area
Garage Area
Storage
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
iJ.
TYPE E-1NEW El ALT. ❑ AD'N. 1-1 RPL. ElMVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7, OF
❑ BLD. CXPLMB. ElMECH:
❑ OTHER
ElM.H. 1-1POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
8. Water Softener
FEES COLLECTED
VALUATION
Source
GAS
ELECTRIC
WATER
SEWER
9.
of
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 3 CQd
performance of construction.
Plumbing
DATE 10/17/79
SIGNATURE Soft Water Service Co-
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
DEPT. REQ'D. RECD.
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)—
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED
IN THIS
SPACE,
SEPA Checklist
^ THIS BECOME A PERMIT.
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