1979, 08-30 Permit: 79-3133 Water Softenertr pLAN 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 4 COPIES
JOB ADDRESS
�. S. 1719 Pines Rd.
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
OWNER
3 William Matlack
BLOCK
SUBDIVISION
ADDRESS
' Same
PARCEL NUMBER/S
PHONE
924-1310
ZIP
99216
Required Set Backs in Feet
North (South [East (West
4' ADDRESS
E. 25 Third Ave.
CONTRACTOR
Soft Water Service Co.
PHONE
455-8050
Size of Parcel 1 Zone Classification
ZIP
99202
Type Const.
Occupancy Sprinklered
❑Ves ❑No ❑ Req'd.
DESIGNER
6' ADDRESS
PHONE
Valuation I Building Area in Sq. Ft.
ZI1
DWL Area I Basement Area r Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
0 ALT.
L+J PLMB.
❑ AD N.
❑ MECH.
O RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
— CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. Water Softener
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
I hereby certify that I have read and examined this applica ion 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.
DATE 8/23/79 SIGNATURE Soft Water Service Co.
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
APPROVFO'FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
I
PERMIT NUMBER
DATE
03* *300
*300 L5
*3006
A *000 8
34322
08-30-79
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS0 8 3'F0 -S 7'9iMIT. 31
3:3
6
*3.00aaIJ-