1979, 12-03 Permit: 79-8612 Water Softener PLAN NUMBER APPLICATION/PERMIT P# PERI M
NUl3FtR� . 7 1
SPOKANE COUNTY — BUILDING CODES DEPARTMENT j+ `6
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES -
JOB ADDRESS
1. 14821 E. 20th Veradale, WA LEGAL DESCRIPTION — SEE ATTACHED - - -
LOT BLOCK SUBDIVISION PARCEL NUMBER/S P
2. .-:
OWNER PHONE
3 t Gerald W. Sampson 924-4316
ADDRESS ZIP Required SeBacks in Feet
Same 99037 North 'SouthEast (West + 2-- 0 3—7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
Soft Water Service Co. 455-8050 =r 6 /l 7
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 25 Third Avenue 99202 _ ❑Yes ❑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 El ALT. ❑ AD'N. ❑ RPL. El MVE.
7, OF �Y ❑ OTHER
WORK ❑ BLD. LIF PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WOR "`
FEES COLLECTED
8. Water Softener
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
performance of construction. Plumbing
DATE
11/26/79 SIGNATURE Soft Water Service Co. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health z
SEPA P
U�
Planning — n_
Mobile Home ``-)
Fire Marshall z—
Co. Engineer Other (Specify) �y
Utilities v v
TOTAL $
Zone Clearance
WHEACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THISN-B MCOME$A .F iMIT.
DATE /2,-3-7/ OFFICIAL pecti2V
APPROVED FOR ISSUANCE -