1984, 03-08 Permit: 84A-1994 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY e4A - u-'1 q+
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS 0" PARDEL NO.
1. N. 1220 Rees Rd.
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3 R. T. Mathlin 928-6645
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
Same 99216 North 'South East I West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑
Soft Water Service Co. 928-6645 Commercial° ,_ .. . C
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 25 Third Ave. 99202 ❑Yes 0 N ❑Req'd. }; 0 ,‘.-
DESIGNER
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area ;'
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse y i (`
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement _ t`
6. / 7 r
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE X NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ° BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Vest: No❑ Number
or Variance Received Yes No
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8• Water Softener Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9. PUBLIC❑ SEPTIC❑
PRIVATE El SEWER❑ Public❑Private❑
UTILILITIES
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 type of Building
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 construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF Soft Water Service Co. APPLICATION
Mech.OR AGENT DATE 2/ 4
' SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning
Modular/
MFG.Home >
Fire
Prevent.
C3
LI
Engineer Other(Specify)
11.1
Utilities
TOTAL $ J,
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF8 WORK HAS NOT COMMENCED r1 /� '"�
Budding 9 a IN 180 DAYS nA?ErSS1� D� 8 — J �ERMIT}IS9. 9. 4 z * 5. G 0 (O14,TJAI
i