1984, 01-19 Permit: 84A-554 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS
E. 9617 Nora
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 William J. Herndon
MAILING ADDRESS
Same
CONTRACTOR
Soft Water Service Co.
ADDRESS
E. 25 Third Ave.
4.
PHONE
928-8164
PHONE
LEGAL DESCRIPTION:
ZIP
99206
Actual Set Backs In Feet to.
North ISouth
East
West
LICENSE EXPIRES
PHONE
455-8050
Size of Parcel
Zone Classification
Residential 0
Commercial 0
ZIP
99202
Type Const.
Occupancy
Sp nklered
DYes ONo OReq'd.
5.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6..
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unlln. Basement
TYPE UNEW 0 ALT. 0 AD' N. 0 RPL. ❑ MVE.
7. OF 0 BLD. 0 PLMB. 0 MECH. O M.H. 0 POOL
WORK
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Gerbil. of Exempt.
or Variance
Required YesO No0
Received Yes ID No0
Number
8.
DESCRIBE WORK
Water Softener
Shorelines/Flood Haza d
YesD Not Applic. 0
Plans Required 0
Recelved 0
VALUATION
9.
SOURCE
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl cation 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 constructlon. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF APPLICATION
OWNER OR AGENT Soft Water Service Co. DATE 12/12/83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. .FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Bullding
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
S VC
JC oD
TOTAL $ •
PE MIT NUMBER
14 — 5S�
03* *500
*5006
A *0.00 0
5532
01-19-84
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE IjiSU,� 1,94 844
�. 5°
, 4 '
PERMITN ci
* 00totAL