1984, 04-05 Permit: 84A-2997 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY eN/r - z,99
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1' E. 14914 Rich r
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3. Joey Dolan 928-5918
MAILING ADDRESS ZIP Actual Set Backs In Feet to:
Same 99216 North 'South East 1 West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential
4 Soft Water Service Co. 455-8050 Commercial
ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 25 Third Ave. 99202 ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse c._ `-
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE .X] NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK
El BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 171 POOL aVifi.of Variance Received Exempt.
Required Yes❑ No❑ Number
Received Yes Non
8 DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
Water Softener Yes Not Applic.❑ Received ❑
VALUATION SOOURCE GAS ELECTRIC PUBLICWATER❑
SEPT 0GE Ownership FEES COLLECTED
9• UTILITIES PRIVATE❑ SEWER 0 Public❑Private❑
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 222O
of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF APPLISoft Water Service Co. DATECATION
OWNER OR AGENT3/17/84 Mech.
O
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning Modular/
MFG.Home
Fire d
Prevent. O
Engineer Other(Specify) W
9 J
Utilities 0 W
�
TOTAL $
-
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS 1, /� 4 n(} _ , J
Tech. tic-
DATE�ISSIUED-I �i' 0 i PERMITNId.9, 7 0 * 2 U. 0 0 feOIFAL