1984, 04-05 Permit: 84A-2999 Water SoftenerPLAN NUMBER
No. Baths
APPLICATION /PERMIT
PERMIT NUMBER
No. Dwellings
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY�A
arc G
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
7• OF ❑ OTHER
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
Certif i. of Exempt.
PARCEL NO.
Yes❑ No❑
1 - E. 12522 - 27th
3
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
Shorelines/Flood Hazard
2.
I
I
Received ❑
VALUATION SOURCE GAS ELECTRIC WATER I SEWAGE Ownership
OF PUBLIC El SEPTIC ❑
FEES COLLECTED
OWNER
PHONE
PHONE
Richard D. Stone
3
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
928-4074
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
MAILING ADDRESS
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing -'
ZIP
ua t Backs in Feet to:
OWNER OR AGENT Mater Service Co. DATE
same
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
99216
North South East West
PRELIM. FINAL DATE
CONTRACTOR
LICENSE EXPIRES
PHONE
455-8050
Size of Parcel
Zone Classification
Residential ❑
❑
4 Soft Water
Service Co.
MFG.Home
Commercial
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E. 25 Third
Ave.
99202
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. DeckFin.
Basement
Unf in. Basement
6.
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building I I 1AW IF, _ IN 180 DAYS
Other (Specify)
GJ
TOTAL s —
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
DATE'4SSt1Eb 7 �% /�' PERMIT4N 9. z * 2 0, 1] 0 tOtrAL
a
O
U
W
J_
U_
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE Cf NEW ❑ ALT. ElAD' N. 11RPL. F-1 MVE.
7• OF ❑ OTHER
Certif i. of Exempt.
Required
Yes❑ No❑
Number
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
or Variance
Received
Yes❑ No❑
DESCRIBE WORK
Shorelines/Flood Hazard
Plans Required ❑
8• Water �Aoftener
yes Not Applic. ❑
Received ❑
VALUATION SOURCE GAS ELECTRIC WATER I SEWAGE Ownership
OF PUBLIC El SEPTIC ❑
FEES COLLECTED
9 UTILITIES PRIVATE ❑ SEWER ❑ public El Private ❑
I
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 type of
Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
00
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing -'
SIGNATURE OF APPLISoft 3218/84
OWNER OR AGENT Mater Service Co. DATE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
SEPA
Planning
Modular/
MFG.Home
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building I I 1AW IF, _ IN 180 DAYS
Other (Specify)
GJ
TOTAL s —
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
DATE'4SSt1Eb 7 �% /�' PERMIT4N 9. z * 2 0, 1] 0 tOtrAL
a
O
U
W
J_
U_