1979, 10-26 Permit: 79-6794 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT -79- - C791- I
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 3* *3.0 0
JOB ADDRESS
1. S. 2204 Vera Crest Dr. Veradale, WA 99037 LEGAL DESCRIPTION - SEE ATTACHED * 30 0 n
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 0 0 v
2. E
OWNER PHONE * 0 0 0 O
3. Bob Jeanneret 922-2164 6 7 9.3 2
ADDRESS ZIP Required Set Backs in Feet
Same 99037 North 'South East (West 1 0-2 6-7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
Soft Water Service Co. 455-8050 2 6 4 7 9,
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 25 Third Ave. 99202 Oyes ❑No D 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.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. '
7, OF EX 0 OTHER -
WORK ❑ BLD. EX PLMB. ❑ MECH: ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. Water SOl6tener FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEWER
of
9._ Utilities - 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 3.0-r,
performance of construction. Plumbing
DATE 10/17/79 SIGNATURE Soft Water Service Co. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPA o
Planning _
Cl.
Fire Marshall Mobile Home z
Co. Engineer Other (Specify)
Utilities ao
TOTAL $ 3'
Zone Clearance
• WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE OFFICI {_ ""- `' 7
Lv � 9:4 ci * d, n O i
APPRO FO ISSUANCE 4 a1 _