1980, 05-09 Permit: 80-4540 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT,^JT �NUMB �
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS �� 0 3 * * 3. 0 0
1. S. 1211 Rotchford LEGAL DESCRIPTION — SEE ATTACHED * 3 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2 * 3006
OWNER Steve Larson PHM-8909 E * 0.0 0 8
3.
ADDRESS ZIP Actual Set Backs in Feet 4 5 3.9-.
Same, Veradale North 'South East (West 0 5-0 9-8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4 SOFT WATER SERVICE CO. 455-8050 2 6,4 7 9.
ADDRESS ZIP I1 Type Const. Occupancy Sprinklered
E. 25 3rd Ave. 99202 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK 0 BLD. W PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area)
8. WATER SOFTENERI FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0
Single $
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 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 3.00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION May 9, 1980 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: '
NAME DATE Plan Check
Env. Health
SEPA >
Planning O
CD
Mobile Home "J
Fire Marshall a
Li:
Co. Engineer Other (Specify)
Utilities 3.00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B 'ng Tec n Sian PERMIT IS NONTRANSFERABLE :G '51`-0 .9 - 0 a- 5 4,0 ° * A 0 0 2
-vv 1) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL