1980, 02-08 Permit: 80-1012 Basement RemodelPLAN 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
C3644"71 LOT BLOCK S B I,V1610
IV `nk
2.
3.
d
-7714 C
OWNER
{ i%ffJ, 13.Qe
ADD ESS
CO TRRARACC
CTOR
4. •
ARES 55
PHONE
924'6464
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 3354/-060(0
&o74, 04..K(p M/O/CANE ADA
ZIP
94204,
Required Set Back�ss �iny� /Feet Q -- _ l- s
North ISouth East West
PHONE
Size of Parcel
ZIP
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Ves ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation
ADDRESS
ZIP .
DWL Area I Basement Area
Building Area in Sq. Ft.
2 -3S'
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
❑ ALT. 0 AD N. 0 RPL.
❑ PLMB. 0 MECH: 0 M.H.
DESCRIBE WORK
8. �Ll / - .R
ANUATIOJ A
s. 200—
❑ MVE.
N
k1 OTHER
❑ X -L
.64(24.144#2.1-1.1 ��
GAS
Split En ry S lit Level Rancher
xa m a
No. Baths I No. Floors No. ooms Roc. =oom
- CERTIFICATE
of EXEMPTION
E ECT IC
Req'd.
Recd.
WATER
SEWER
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 local law regulating construction or the
performance of construction.
DATE
2 -y - go
SPECIAL APPROVALS
REQ'D.
DEPT.
SIGNATURE 1//104.-
REC'D.
Env. Health'
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
HOME OWNER'S WARRANTY
YES ❑
NO ❑
SPECIAL CONDITIONS:
rObal
DATE OFFICIAI 7RAK a
APPROVED FOR ISSUANCE
Not Req'd.
X
FEES COLLECTED
Single $
ill 6
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
•
TOTAL $'�/61-&
DATE
PERMIT NUMBER
86-/0/R.
02* *1Q00
* 1000 tp
* 100,06
8 *Q00
101:1f
02-08-80
6479
WHEN MACHINEy1VALIDATED IN THIS SPACE,
TH IS�6CO1U10iIA 1E,1jM IT.
10128 *10.00ae
O
U
LU
0
GO