1981, 01-12 Permit: 81A-351 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
e....) SPOKANE COUNTY — BUILDING CODES DEPARTMENT /At -3,5-/NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 3 * * 3. 0 0
1. 20th. COURT, E. 16302 LEGAL DESCP4]PTIO^ - SEE ATTACHED
* 7) 0 U U)
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. * 3v0c
OWNER PHONE A. r, c?
3. EARL�E R. KE TRICK 922-0964
ADDRESSActual Set Backs in Feet 3 5.0 c
ZI
Same Veradale, WA 9037 North (South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification 01 — 1 2-8 1
SOFT WATER SERVICE CO 455-8050
4. ADDRESS ZIP Type Const. Occupancy Sprinklered 7
E. 25 Third Ave 99202 Elves ❑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 0 ALT. KI AD'N. 0 RPL. ❑ MVE.
7. OFx CIOTHER -
WORK
El BLD. 4J PLMB. 0 MECH. 0 M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) T
8. WP,TER SOFTENER 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 1/12/81 SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE -
i' —% ri
PV'✓ /0 IS 1 Plan Check
Env. Health Vim✓
SEPA 2
Planning
C3
—
U
Fire Marshall Mobile Home J
Co. Engineer Other (Specify)
Utilities
TOTAL $ 3.00
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
_uildl- PERMIT IS NONTRANSFERABLE 0'1 i1'Z'l1 3:.'1 I * 3.0 0 2
Ww, PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL