1984, 03-08 Permit: 84A-1986 Water SoftnerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPAATMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
2.
1, 591.1_ - l9th
LOT I BLOCK
PARCEL NO.
SUBDIVISION
3.
4.
5.
OWNER
Richard G. Hankins
MAILING ADDRESS
/Same
CONTRACTOR
Soft Water Service Co.
ADDRESS
E. 25 Third Ave.
DESIGNER
PHONE
534-3499
PHONE
LEGAL DESCRIPTION:
ZIP
99212
Actual Set Backs in Feet to:
North 1 South
LICENSE EXPIRES
PHONE
455-8050
Size of Parcel
11 Zone Classification
East
West
Residential ❑
Commercial ❑
ZIP
99202
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑Req'd.
PHONE
New Const. Valuation
Remode ed Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE I NEW ❑ ALT. ❑ AD' N. ❑ RPL.
7. OF
WORK ❑ BLD. ❑ PLMB. 0 MECH. 0 M.H.
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes No❑
Number
8.
9.
DESCRIBE WORK
Water Softener
VALUATION
Shorelines/Flood Hazard
Yes NotApplic. ❑
Plans Required D
Received D
SOURCE
F
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE 0
SEWAGE
SEPTIC ❑
SEWER ❑
Ownership
Public 0 Private ❑
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 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 FO; REQUIRED INTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
APPLICATION
DATE
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
✓
TOTAL $
PERMIT NUMBER
4A - ISE)0
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DAT / S,4LIEc 8 — 8 4
PERMIi4).8, 6
*5,U0dCAL