1979, 11-21 Permit: 79-8260 Finish BasementPLAN 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. f=. , Ilzo?f- ALCs HA co UP-7
LOT BLOCK SUBDIVISION
3.
4. ADDRESS
G Fo .I)
`+ I 3
OWNER
14
ALc I✓1R S 0Np ADPITioN
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S 33542_ z5-0
ADDRESS
r_-. , I I Zoo- Al -o to
CONTRACTOR
s
DESIGNER
cAu(LT sPiCkt E.
L4
ZI P
egg 20G
PHONE
2-91 -6181
ZIP
`?qo 30
Required Set Backs in Feet
North (South"`
East
Size of Parcel
X 1 0'f'if' pp ,b
Type Const. Occupancy
U -N R -3
PHONE
Valuation
ig 5,300 ��x
5' ADDRESS
ZIP
DWL Area I Basement Area
`too
(Building Area in Sq. Ft.
700
�— (West
Zone Classification
S? 4 Lam. PAM ILI) R.E.R
Sprinklered
❑Yes ❑No ❑ Req'd.
Garage Area I Storage
CHANGE OF USE FROM
TO
Split Entry
P-�
Split Level
Rancher
♦A
TYPE
7, OF
WO RK
,/
❑,NEW
LJ BLD. ❑ PLMB.
❑ AD'N.
Cl MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
No. Rooms
3
Rec. Room
Req'd. Rec'd. Not Req'd.
DESCRIBE WORK
FirJdI'S111h1( EAST- M r GREG' r
VALUATION Source
DO
of
9 ' 5 _- 300 Utilities
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give authority to violate or cancel
performance of construction.
DATE / rm4t - I'll ` 9'77
M tt FM&►.L_Y ('4)014 d. R VP-tyO M.
BLECTRIC f WATER SEWER
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulating construction or the
SPECIAL APPROVALS
DEPT_ REQ'D.
Env. H ealth
Planning
REC'D.
Fire M arshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
1-
-c NI Z1`7Bf_
DATE / /I( OF
APP � FOR ISSUANCE
FEES COLLECTED
Single $
co
Building So �!
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ .SO °xx
DATE
PERMIT NUMBER
02* *50.00
*5000 N
*50006'
E *000
82598
11 -21 -79
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS $ECen ArP $MIT.
826,0°z
*50,00°
DATE
1
It_
RECORD OF INSPECTIONS
REMARKS
' I
V...dt,-Y 1 E
Final Inspection
INSPECTED BY
J I -S1-.1
E 4000
*2COOR