1984, 01-19 Permit: 84A-552 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER n
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 /3 ,j
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES (/�'91�1}
JOB ADDRESS
1. E. 13722 - 12th. Ave. Spokane, Wa. 99216 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCr_L NUMBER/S
2.
OWNER PHONE
3. Marie Stor 928-0706
ADDRESS ZIP Actual Set Backs in Feet
E. 13722 - 12th. Ave. Spokane, Wa. 99216 North 'South East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification
Servisoft Systems, Inc. 328-6651
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 Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OFy ❑ OTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. AJ PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) r
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 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 regula 'ng construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION Plumbing 5_00
DATE OF APPLICATION 12/16/83 SIGNATURE OF APPLICANT L rC Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA 4
Planning O
CJ
Mobile Home LU
Fire Marshall -i
%i.
Co. Engineer Other(Specify)
•
Utilities $5.00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
HY pr .a � h�= '� Y
Building Technician 1 PERMIT IS NONTRANSFERABLE 0 1 —1 9 — 8'4 `5 5,2 c; *
J, 6 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
i