1980, 11-12 Permit: 80B-3604 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT `
V NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS �����
1. E. 12805 12th Avenue LEGAL DESCRIPTION — SEE ATTACHED 0 v * * 3.0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 3. 00 ris
OWNER PHONE * 3 0 0 U
3. Alice F. Rust 928-9298
ADDRESS ZIP Actual Set Backs in Feet A * 0.0 0 v
E. 12805 12th Avenue 99206 North (South East (West 3 0 3
CONTRACTOR PHONE Size of Parcel Zone Classification
Servi soft Systems 328-6651
4' 1 1 - 1 2—8 0
ADDRESS ZIP Type Const. Occupancy Sprinklered
T. 507 Indiana 99206 Oyes ❑No El Req'd. z 6 4 7 9,
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.
TYPE No. Baths No.Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ® PLMB. 0 MECH. Cl M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8. Soft Water 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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 Plumbing 3.00
DATE OF APPLICATION 11/7/80
lf7/8Q SIGNATURE OF APPLICANT . ,� —1..,,gs Ar�L/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA �"
rL
Planning LD
U
Fire Marshall Mobile Home w
J
Co. Engineer Other(Specify)
Utilities
TOTAL $ 3.00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ing , ician I PERMIT IS NONTRANSFERABLE 1 1 T 1'2.13.6 0.4 z *10 0 °a —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL