1980, 10-17 Permit: 80B-2181 Basement FinishPLAN NUMBER
/'//7/Oo
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 Ryc �./J�
�• s 31(C OCK ISU VISI ONI-oA 6/
2. 1 II FI,DIAOM,E
OWNER
3.
- fn EUFJ1E,Q
ADDRESS
S'Arn P.
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
ya2-333/
ZI P
y9go lv
PARCEL NUMBER/S
33S'I/ - 0410/
Required Set Backs In Feet
North (South East 'West
4.
CONTRACTOR
T.t._gemflEAO
PHONE
A/S'7 -.2b 2 4o
Size of Parcel Zone Classification
ADDRESS /1
0-38 IS' Foivuic IS A✓ P/
ZIP
I.?07
Type Const.
Occupancy Sprinklered
❑Ves DNo 0 Req'd. '
5.
DESIGNER
PHONE
Vaiation
1}gsoo a
Building Area in Sq. Ft.
/000
ADDRESS
ZIP
DWI, Area I Basement Area
000
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Split Entry
Split Level
Rancher
TYPE
7. OF
WORK
0 NEW ALT. 0 AD N. 0 RPL. 0 MVE.
❑ BLD. 0 PLMB. 0 MECH: 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Comphel e,
VALUATION
9.f/aS27. 00
&mevmewl" {L, •v,SM - Cl/HSN200✓✓I of-/ CG , ReG ROOri1
Source GAS ELECTRIC WATER SEWER
o,
f
Uto/
ities 1/
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 authority to violate or cancel the provisions of any other state or ocal law regulating construction orhe
performance of construction.`��'�"
DATE /'±/ % 7/D SIGNATOR E+/�.veiww—t,
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE /b/ /7/SOOFFICIAL 9,1/ 5
APPROVED FOR ISSUANCE -
FEES COLLECTED
Single $
Building #so. Go
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ SO, 6c
PERMIT NUMBER
8o C3-2181
DATE
02* *5Q00
*5Q00 En
*50.006
A *Q00
21&0g
10=17-80
2 6.479
WHEN MACHINE VALIDATED IN THIS SPACE,
THI BECOM A', PERMIT.
10411 'i 0' 2 1,8.1 g *'5 0, Q 0 Q.