1983, 06-27 Permit: 83A-5822 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. 3818 Moffitt Rd.
LOT BLOCK SUBDIVISION
2.
•
3.
;,,LEGAL DESCRIPTION — SEE ATTACHED
OWNER
Norman D. Olson
PHONE
926-4486
PARCEL NUMBER/S
ADDRESS
Same
ZIP
99206
Actual Set Backs in Feet -
North 'South East -I West
4.
CONTRACTOR
Soft Water Service Co.
PHONE
455-8050
Size of Parcel 1 Zone Classification
ADDRESS
E. 25 Third Ave.
Z.-JIP
i 99202
Type Const.
Occupancy
Sprinklered
Oyes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation I Building Area in Sq. Ft.
ADDRESS
CHANGE OF USE FROM
6. -
TYPE 0 NEW
7. OF
WORK BLD.
DESCRIBE WORK
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
TO'
Area of Decks
Finished Basement
Unf in. Basement
❑ ALT.
❑ PLMB.
O AD N.
O MECH.
❑ RPL.
❑ M.H.
❑ MVE.
0 OTHER
0 POOL -
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
8. Water Softener
Enum. Dist.
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 4/26/83 SIGNATURE OF APPLICANT Soft Water Service Co.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
• Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
c_57 -C20
Plumbing
Mech.
Plan Check
SEPA -
Mobile Home
Other (Specify)
TOTAL $
� c'a
PERMIT NUMBER
w?ik- e2-
03* *500
*5006
A *000
5821 •
06-27-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'6'-2 7.L:78,15:
518.222 '*.5.0021 -
DATE ISSUED PERMIT NO. TOTAL