1980, 01-15 Permit: 80-0191 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
mac' - 0 ,91
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS H 3RD TO MAKE 4 COPIES
JOB ADDRESS C `, -s ,.
1. E. 15710 Wellesley LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHO E
3 Tommy C. Jeanes 926-6075 E
ADDRESS ZIP Required Set Backs in Feet 1 0 ,
Same 99216 North 'South [East 'West
CONTRACTOR PHONE, Size of Parcel Zone Classification
Soft Water Service Co. 45,5 6050 1 _ " �)
4' ADDRESS ZIP Type Const. Occupancy Sprinklered F' 6i.
E. 25 Third Ave. 99202 ❑Yes ❑No 0 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 0 ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF �F ❑ OTHER
WORK
0 BLD. LJ PLMB. CIMECH: 0 M.H. 117POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. Water Softener 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 41-O
performance of construction. Plumbing
DATE 1/9/80 SIGNATURE Soft Water Service Co.. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
0=
SEPA o
Planning U
w
a
Fire Marshall Mobile Home
Z
Co. Engineer Other (Specify)
Utilities Q�,�
TOTAL $✓
Zone Clearance
ilk %, WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist ,� THIS BECOMES A PERMIT.
DATE /'" OFFAO.' •"CA--•vim 0 '1 1.5`—" 9 ... ic�
, * ), J I.; .
APP•i' D FOR ISSUANCE