1980, 01-15 Permit: 80-0203 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS LARD TO MAKE 4 COPIES
JOB ADDRESS
WELLESLEY, E. 14216
LEGAL DESCRIPTION — SEE ATTACHED
2.
3
LOT
BLOCK
SUBDIVISION
OWNER
VIRL E. MARTIN
PHONE
PARCEL NUMBER/S
ADDRESS
SAME
ZIP
4.
CONTRACTOR
SOFT WATER SERVICE CO.
PHONE
455-8050
Required Set Backs in Feet
North !South {East (West
Size of Parcel 1 Zone Classification
ADDRESS
e. 25 3rd
ZIP
99202
Type Const.
Occupancy
Sprinklered
Eyes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP DWL Area I Basement Area • Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
WATER SOFTENER
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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 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.
DATE SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE///5
OFFI
APPRFOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
3.00
TOTAL $ 3.00
PERMIT NUMBER
BO - 0
DATE 1/15/80
C3* *3.00
*3.00 U)
*3006
E *000 8
202�
01-15-80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2a3z *3, IJ