1983, 11-15 Permit: 83B-1711 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY 838 /'7'//
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL N9.
a
1. E. 9719 - 9th
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER PHONE PHONE
3. Jim Hayes 924-1644
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
Same 99206 North I South East I West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑
4. Soft Water Service Co. 455-8050 Commercial❑
ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 25 Third Ave. 99202 ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE g] NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF
❑ OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required YesO No❑ Number
or Variance Received Yes❑ No❑
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8. Water Softener Yes Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9 OF
UTILITIES PUBLIC❑
PRIVATE❑ SEPTIC❑
SEWER 0 Public❑Private 0
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 Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority 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 Plumbing
SIGNATURE OF ft WaterService PLICATION
Soerce Co..
OWNER OR AGENTDATE10/25/83 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning Modular/
MFG.Home )-,
Fire
La-
Prevent.
Prevent.
O
Other(Specify) v
Engineer y,l
J_
Utilities uL
TOTAL $
SEPA
MACHINE
Plans PERMIT IS NONTRANSFERABLE THhIS EN BECOMES A PERM TTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS _
Tech. DATE ISL�1 5 C' 3 PERMIT.Nd. 1, 1 2 *5. 0 0 TotAL