1979, 12-03 Permit P79-8610 Wtr SoftenerPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
1. E. 10014 - 4th
LOT
BLOCK
2.
OWNER
3 Jim Bertis
ADDRESS
Same
SUBDIVISION
CONTRACTOR
Soft Water Service Co.
5.
PHONE
926-4366
ZIP
99206
PHONE
455-8050
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUIVIBER/S
Required Set Backs in Feet
North (South East 'West
Size of Parcel 1 Zone Classification
ADDRESS
E. 25 Third Ave.
DESIGNER
ZIP
99202
PHONE
Type Const.
Occupancy
Sprinklered
❑Yes ❑No D Req'd.
Valuation (Building Area in Sq. Ft.
ADDRESS
ZIP
DWL Area I Basement Area Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
❑S ALT.
Ln PLMB.
TO
❑ AD'N.
❑ MECH;
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Split Entry
No, Baths
Split Level
No. Floors
No. Rooms
Rancher
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. 'later Softener
VALUATION
9.
Source
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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 construction or the
performance of construction.
DATE 11/20/79 SIGNATURE Soft Water Service Co.
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE I2.3-' OFFICIAL
APPROVED FOR ISSUANCE
1FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
DATE
03* *300
*3.00 I
*3.006
B *0,00
860,92
12-03-79
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1. 2 0 )''�%''9'
861,Oz *3,00,°►