1980, 03-10 Permit App: 80-1991 Water Softener PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT ge - 1".7(
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE --id-FD
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 0 3 * * 3 0 0
JOB ADDRESS * ''' H
1. E. 14904 - 23rd Ct. Veradale LEGAL DESCRIPTION — SEE ATTACHED ' 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3. 0 0
2. E * 000 c?
OWNER PHONE
3. Kenneth Ingalls 924-8884 1 9 9,0 2
ADDRESS ZIP Required Set Backs in Feet
Same 99037 North 'South East (West 0 3- 1 0 8 0
CONTRACTOR PHONE Size of Parcel Zone Classification " 6 4 7 9.
Soft Water Service Co. 455-8050
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
E. 25 Third Ave. 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.
TYPE No. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OFyx ❑ OTHER -
WORK ❑ BLD. i�J PLMB. ElMECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK
8. Water Softener FEES COLLECTED
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 , d
performance of construction. Plumbing
DATE 2/22/80 SIGNATURE_Soft Water Service Co.
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. Plan Check
Env.Health
SEPAiPlanning
Mobile Home
Fire Marshall __
Co. Engineer Other (Specify)
Utilities i 40
TOTAL $ ":1
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
DATE ��5 ,OFF IAL" • _ , 1 .^3 * . Ii 1 1--
AP-9
_AP"! ; OR ISS ANCE