1979, 10-01 Permit: 79-5013 Water Softener PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER I
161 7) - SOI->
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE October 1 , 1979
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS Q3 * * 3'00
17th 1. COURT, E. 4921 LEGAL DESCRIPTION - SEE ATTACHED * 3 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 3,00
OWNER PHONE D �. O C V
s GARY MATSUMOTO 534-85('2
ADDRESS ZIP Required Set Backs in Feet 5 0 1.2 2
SAMF North 'SouthEast (West 1 0-0 1 -7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
LINDSAY SOFT WATER SERVICH 52.4-12436 4 7 9,
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 728 Sprague Eves ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area Basement Area( Garage Area Storage
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. EX PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK ,
WATER SOFTENER FEES COLLECTED
8.
VALUATION Source GAS ELECTRIC WATER SEWER
of
9. utilities 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. Plumbing
DATE SIGNATURE_ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
n=
SEPA o
1—
Planning — w
2
Mobile Home "-)
Fire Marshall 7
Co. Engineer Other(Specify)
Utilities 3.00
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist <
THIS BECOMES A PERMIT.
io �� 1 '10 - 01 - 7 9 __ I1. 5 * 7, 00 ° _
DATE1 OFFICI• _....41/11111
APP OILED-FOR ISSUANCE _ 1