1979, 09-14 Permit: 79-4070 Water Softener PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
,- 03 * * 3.00
JOB ADDRESS
1. E. 12008 - 22nd LEGAL DESCRIPTION — SEE ATTACHED *3 0 0 co
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 O O J
2.
OWNER PHONE E * 0,0 0 8
3 David Willman 922-3812 4 0 9
ADDRESS ZIP Required Set Backs in Feet
Same 99206 North (SouthEast (West 0 9- 1 4-7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
Soft Water Service Co. 455-8050 2 6 4 7 9.
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 ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK ❑ BLD. I PLMB. ❑ MECH: CIM.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
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 3
performance of construction. Plumbing
DATE 8/30/79 SIGNATURE Soft Water Service Co. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env. Health
SEPA o
1--
Planning — w
a_
Mobile Home v)
Fire Marshall z
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A�PERMIT.
DATE OFFICIAL 0 9-1 /.Q (l. U 7. 0 G * 3, O O a II- -
APPROVED FOR ISSUANCE _