1979, 10-11 Permit: 79-5743 Water SoftenerFILAN 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
t. S. 805 Park Rd. LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER
PHONE
Joseph Walla
924-0034
3
ADDRESS
ZIP
Required Set Backs in Feet
Same
99206
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Soft Water Service Co.
455-8050
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
Third Ave,Dyes
I
❑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 ❑ NEW ❑ALT. ❑ AD'N. 11 RPL.
1:1MVE.
No. Baths
No. Floors
No. Rooms
Rec. Room
7,
OF
❑ OTHER
❑ BLD. IX PLMB. ❑ MECH: ❑ M.H.
El
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8• Water Softener FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. Utilities Single $
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 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
DATE 9/20/79 SIGNATURE _Soft Water Service Co.
Mech.
0219111
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL APPROVALS SPECIAL CONDITIONS:
REQ'D. RECD.
DATE/U _ �'� / OFFICIAI Al�./,�CiiLf/ iX / f_etell
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
i� -79 - 5
DATE �D rr //i 7q
E }
57.2
10-11-79
6479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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