1979, 09-19 Permit: 79-4249 Water Softener PLAN NUMBER APPLICATION/PERMIT „, PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 7_��-_ --te `
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 9— '1
APPLICANT: COMPLETE NUMBERED SPACES — PRESS I-ARDTO MAKE 4 COPIES
03 * * 3.00
JOB ADDRESS
1. 6925 E. 11th LEGAL DESCRIPTION — SEE ATTACHED *3.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 O 0
2.
OWNER PHONE E * 0 0 0 8
3 Roger Samse 926-9451
ADDRESS ZIP Required Set Backs in Feet 4 2 8
Same 99206 North 'SouthEast IWoest
09- 19-79
CONTRACTOR PHONE Size of Parcel Zone Classification
Soft Water Service Co. 455-8050 g 6 L.7 9,
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 25 Third Ave. 99202 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area I Basement Area Garage Area I Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF6r ElOTHER
WORK CI BLD.BLD. PLMB. ❑ MECH: ❑ M.H. ❑ POOL 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 �j Iry
performance of construction. Plumbing
DATE 9/10/79 SIGNATURE Soft Water Service Co. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
a
SEPA C
Planning L
— LL
n
Mobile Home v
Fire Marshall 2
Co. Engineer Other(Specify)
Utilities 4✓�
TOTAL $ ,_"f
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist (�1) / ry THIS BECOMES A PERMIT. _ C
DATEV/ /�? //OFFICIAI .AI , t 0 ) 1 7 / 2 '-i: 9 * 3. OM
APPROVED FOR ISSUANCE —