1983, 06-27 Permit: 83A-5818 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
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
E. 6820 — 3rd
LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION
OWNER
3 Harold Nelson
PHONE
926-9954
PARCEL NUMBER/5
ADDRESS
Same
4.
CONTRACTOR
Soft Water Service C
ZIP Actual Set Backs in Feet
99206 North 'South
PHONE
455-8050
East
West
Zone of Parcel Classification
ADDRESS
E. 25 Third Ave.
ZIP
99202
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5.
ADDRESS
PHONE
Building lding Area in Sq. Ft.
ZIP
Main Floo
Garage Floors Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW 0 ALT. ❑ AD'N. 0 RPL. ❑ MVE.
❑ BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. WaterSoftener
Enum. Dist.
ILocation (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
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. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
5/4/83
SIGNATURE OF APPLICANT Soft Water Service Co.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single S
Building
_C p✓
Plumbing C�
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
r 00
TOTAL $
PERMIT NUMBER
03* *500
*5.006
a *000
581,72
06-27-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
06-27-83 581.82
DATE ISSUED PERMIT NO.
*5.00dF-
TOTAL