1981, 01-22 Permit: 81A-0759 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
�� SPOKANE COUNTY — BUILDING CODES DEPARTMENT o -75?I! / NORTH B11 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
l:o' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS I0 `~' * * F 0 0
1. E. 11104 11th Avenue LEGAL DESCRIPTION — SEE ATTACHED n
Cu
LOT BLOCK SUBDIVISION PARCEL NUMBER/3
2 * 5. 00
OWNER PHONE
A0 0
a Donald R. Dryden 926-1120
ADDRESS ZIP Actual Set Backs in Feet 7 5 8 ro
E. 11104 11 th Avenue 99206 North 'SouthEast (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 1 —2 2-8 1
4 Servi soft Systems 328-6651 4 7 9
ADDRESS ZIP Type Const. Occupancy Sprinklered
W. 507 Indiana 99205 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 9 NEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER
WORK
0 BLD. i PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area)
8. Soft Water I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0
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 5.00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 1/21/81 SIGNATURE OF APPLICANT /1���-"'Q Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA n
Planning
C
Mobile Home W
Fire Marshall -_
iy
Co. Engineer Other (Specify)
Utilities
TOTAL $ 5.00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
5 ; �I
:ui .r • — �i ician -� PERMIT IS NONTRANSFERABLE 0 1. =2'2--8 1'. 7 5.9 z * 5.0 0 a �' - ,LI
1: R__�zf"-" . +
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL