1981, 12-04 Permit: 81B-2429 Water SoftenerPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 13 - 21+meq
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E. 12606 - 31st LEGAL ,DESCRIPTION —SEE ATTACHED
LOT BLOCK SUBDIVISION I PARCEL NUMBER/S
2.
OWNER
John Kalberg
PHONE
924-3160
ADDRESS ZIP Actual Set Backs in Feet
E. 12606 - 31 s t Avenue 99206 North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
Soft Water Service Co.
4• fD S ZIP Type Const. Occupancy Sprinklered
G. ` third Avenue ❑Yes ❑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
s.
No. Baths No. Stories No. Rooms No. of Dwelling
TYPE NEW ❑ALT. 1-1 AD'N. El RPL. 11 MVE.
7• OF ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd
WORK El BLD. I PLMB. ❑ MECH. ElM.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
g. Soft Water FEES COLLECTED
VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. UTILOITIES Public 11 Private ❑
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 5.00
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
nATF nF APP( (CATION SIGNATHRE OF APPLICANT I Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Tire marsnaii
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Build, �Techn
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
03* *5.00
* 5 11 0 'Co
*5006'
A *0,00
242.8-f
12•-04-81
6,479.
TOTAL $ 5.00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
l2: `04'-8124Z'9z
DATE ISSUED PERMIT NO.
*5.000~ -
TOTAL
U -