1983, 11-15 Permit 83B-1701 Soft WaterMrrLI . M I IVII/ I•'LKMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
E. 11220 Ferret Dr.
LOT
BLOCK
SUBDIVISION
3.
4.
5.
6.
OWNER
Albert D. Black
MAILING ADDRESS
Same
CONTRACTOR
Soft Water Service Co.
ADDRESS
E. 25 Third Ave.
DESIGNER
ADDRESS
PHONE
926-8081
PHONE
PARCEL NO.
LEGAL DESCRIPTION:
LICENSE EXPIRES
ZIP
99206
P`'+55-8050
ZIP
99202
Actual Set Backs in Feet to:
North South East I West
Size of Parcel Zone Classification
Type Const.
Occupancy
Residential ❑
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req'd.
PHONE
New Const. Valuation
Remode ed Valuation
Total Bldg. Floor Area
CHANGE OF USE FROM
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE j NEW
7. OF
WORK ❑ BLD.
8.
9.
DESCRIBE WORK
VALUATION
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
Yes❑ No0
Yes No❑
Number
Water Softener
SOURCE
F
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE E
SEWAGE
SEPTIC ❑
SEWER 0
Shorelines/Flood Hazard
Yes❑ 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 Soft Water Service Co. APPLICATION
OWNER OR AGENT DATE 11/3/83
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required ❑
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
E3e ' yoi
*500
(v.00�
*000 0
170.0g
11-15-83
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISUIE
15 -8`3
PERMIT Ni.7 0 1 5
*5. 0 IT 0_ "F-