1984, 01-19 Permit: 84A-568 Water SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. E. 6422 - 17th
PARCFI NCI
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 Ron B. Owens
MAILING ADDRESS
Same
4.
CONTRACTOR
Soft Water Service Co.
ADDRESS
E. 25 Third Ave.
PHONE
535-8539
LICENSE EXPIRES
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
PHONE
ZIP
212
PHONE
455-8050
ZIP
99202
PHONE
ZIP
TO
TYPE M{ NEW 0 ALT. 0 AD' N. 0 RPL. O MVE.
7. OF ❑ OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North ISouth
East I West
8.
DESCRIBE WORK
Water Softener
VALUATION
9.
SOURCE
F
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Size of Parcel
Type Const.
Zone Classification
Residential Cornmercial 0
Occupancy Sprinklered
OYes ❑No ❑Req'd.
New Const. Valuation
Main Floor
Cover Deck
No. Baths
Certifi. of Exempt.
or Variance
Remodeled Valuation
Upper Floors Garage/Storage
Total Bldg. Floor Area
Uncv. Deck
Fin. Basement
Greenhouse
Unfin. Basement
No. Floors
No. Fin. Rooms
No. Dwellings
Required YesD No❑
Received Yea❑ No❑
Shorelines/Flood Hazard
Yea❑ Not Applic. ❑
Ownership
Public 0 Private 0
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
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
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
Soft Water Service Co.
APPLICATION
DATE 1212/83
Number
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required ❑
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular!
MFG. Home
Other (Specify)
l
TOTAL $
PERMIT NUMBER
q4A—gig
03* *500
*5.006
*000 8
r1
567-2
01-19-84
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE V55UED1 9 L'
PERMIT NO 6. 8 z
* 5.0 0miAL