1980, 05-09 Permit: 80-4532 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 4 -fl-Nr-i3'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS I 4* 0 3 * * 3 0 0
1. 16th Avenue, E. 10420 LEGAL DESCRIPTION — SEE ATTACHED * 3.0 0 N
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
* 3.
a 0 v
2.
OWNER PHONE E * 0.0 0 V
3 Robert L. Heitman, Jr. 924-0340
ADDRESS ZIP Actual Set Backs in Feet 4 5 3 1 g
Same North 'South East (West 0 5_0 9_p V 0
CONTRACTOR PHONE Size of Parcel Zone Classification
SOFT WATER SERVICE CO. 455-8050 R 6 4 7 9,
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 25 3rd Avenue 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.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER
WORK ❑ BLD. IX PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. WATER SOFTENER 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 3.00
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION May 9, 1980 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a}.
Planning OC.)
Mobile Home '-'-t
Fire Marshall "I
G2
Co. Engineer Other(Specify)
utilities 3.00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
�n h ician PERMIT IS NONTRANSFERABLE 0 5j '— 0 r9 -'8 0 4 5 3,2 5 *3.0.0 2
'j I JY\r \.QvC) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL