1980, 07-22 Permit: 80-7470 Water Softener PLAN NUMBER APPLICATION/PERMIT /i PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT /�/ SE—RV—IS-373PD
r 00 17c
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 7
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED 0 3 * * 3.0 0
1. E. 11810 16th
LOT BLOCK SUBDIVISION ItAFCELNUMBER/S * 3•0 0 V
2. * 3.006
OWNER PHONE
3 Hazel Kugler 924-4965 E * 0,0 0
ADDRESS ZIP Actual Set Backs in Feet
11810 E. 16th 99206North South East (West 7 4 6 2 2
CONTRACTOR PHONE Size of Parcel Zone Classification 0 7-2 2-8 0
4. Servisoft Syctems 328-M51 6 4 7 9.
ADDRESS ZIP Type Const. Occupancy Sprinklered z
W. 507 Indiana 99205 ❑Yes ❑No 0 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 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORKEnum.Dist. I Location (Area) r
8. Soft Water FEES COLLECTED
I
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 3-0n
DATE OF APPLICATION 7/1 7/80 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA �_
Planning
Ca
t.J
Fire Marshall Mobile Home --.J
Co. Engineer Other (Specify)
Utilities 3.00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin ecchnician PERMIT IS NONTRANSFERABLE 0 7'l-2 2 ` 8 0 7 4 7.0 z * 3. 0 0 a. i- -
�� • �ef-a- -7 Zia PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL