1984, 01-19 Permit 84A-551 Soft WtrPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NUMBER
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3
4.
JOB ADDRESS
E. 18122 Indiana - Greenacres Wa. 99027
LOT BLOCK
OWNER
ADDRESS
�UtSUIVISIUIN
RnyCP
E. Hirkc
E. 18122 Indiana- Greenacres. W
CONTRACTOR
Servisoft Systems, Inc.
ADDRESS
DESIGNER
ADDRESS
E. 25 Third Ave.
•
PHONE
9?4-1300
ZIP
99027
PHONE
328-6651
ZIP
99202
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
East
West
Size of Parcel Zone Classification
Type Const. Occupancy
Valuation
Main Floor
CHANGE OF USE FROM
6.
TO
Upper Floors
Area of Decks
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Storage
Finished Basement Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
0 ALT.
XX PLMB.
❑ AD N.
O MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms [No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
Not Req'd.
DESCRIBE WORK
Soft Water
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Enum. Dist. I Location (Area)
Ownership
Public 0 Private 0
USE CODE
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 authority to violate or cancel the provisions of any other state or local law regulating cstruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS n /J
1 2/1 2/83
DATE OF APPLICATION
SIGNATURE OF APPLICANT
�.Iai
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$5.00
$ $5.00
&t A - )
03* *5,00
*500'6
*0,00
550.2
01-19-84
6479
0.
0
C)
- uJ
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
p1-1•9-8`4
55,1z
DATE ISSUED PERMIT NO.
*5.00o_�
TOTAL