HomeMy WebLinkAbout1980, 01-15 Permit: 80-0197 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 4 COPIES
JOB ADDRESS
5th AVENUE, E. 13123
LEGAL DESCRIPT?ON - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3
OWNER
JAMES D. DOLESKY
PHONE
PARCEL NUMBER/S
ADDRESS
SAME
ZI P
Required Set Backs in Feet
North 'South East (West
4,
CONTRACTOR
SOFT WATFR SERVICE CO
E. 25 3rd
ADDRESS
PHONE
455-805n
Size of Parcel Zone Classification
ZIP
99202
Type Const.
Occupancy Sprinklered
Els/es ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZI P
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
❑ 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.
Rec'd.
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? 7 OF 111116,04611W c — 19.7° *3002H
AP • `i r 1 FOR ISSUANCE —
FEES COLLECTED
Single $
Building
Plumbing 3.00
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 3.00
PERMIT NUMBER
130 -`at6J (
DATE January 15, 1980
03*
* 300
* 3.00 t6
*3.008
E *0.00
1 9. 6
01-15-80
6it79,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.