1979, 12-03 Permit: 79-8614 Water SoftenerPLAN NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1.
E. 11014 - 26th
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
I
OWNER
PHONE
3
Robert Roloff
924-5341
ADDRESS
ZIP
Required Set Backs in Feet
Same
99206
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Soft Water Service Co.
4 -80 0
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 2 Third Ave.
202
-]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�s
❑ BLD. X] PLMB.
ElOTHER
❑ MECH: ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Rei
WORK
of EXEMPTION
DESCRIBE WORK
FEES COLLECTED
8.
Water Softener
VALUATION Source GAS ELECTRIC WATER SEWER
of
9, utilities I I Single $
1 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
DATEx-1/28/79 SIGNATURE Soft Water Service CO. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. RECD. Plan Check
Env. Health
SEPA
Planning
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities
Zone Clearance
SEPA Checklist
DATE/2,-3- 79 OFFICIAL
APPROVED FOR ISSUANCE
PPERMITNUMBER
DATE
03* *3.00
*3.00 I-
* 3 0 0 6 *3006
B *0.00 a
861,3
12-03-79
g 6,479.
TOTAL $_
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 c_