1984, 03-19 Permit: 84A-2359 Finish BasementPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
St 2 zO( CON KUIQ1
LOT
2.
BLOCK
SUBDIVISION
OWNER
3. SU D F kttir R -ice.
MAILING ADDRESS
AYY) E
PHONE
CONTRACTOR
4. t 50/145 ta'� A� �=H1 M
ADDRESS
.
DESIGNER
Llj tE�N$ /51 FCF�IES,
Z u 1.46(1eE WA •
5. ADDRESS
CHANGE OF USE FROM
PHONE
9Z4='
ZIP
'k
�. cI go,
PHONE
ZIP
TO
TYPE ❑ NEW O ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF
WORK .BLD. ❑ PLMB. 17 MECH. El M.H. 17 POOL THER
8. DESCRIBE WORK R ,ff_ ,. `ar `ts( 1k)&
VALUATION
9.
SOURCE
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE E
SEWAGE
SEPTIC E
SEWER ❑
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North
South East
Size of Parcel
Type Const.
New Const. Valuation
Main Floor
West
Zone Classification
Residential ❑
Commercial ❑
Spr'nklered
❑Yes ❑No Req 'd.
Remode ed Valuation
s eCt C> .Ci
Upper Floors
Cover Deck
No. Baths
Uncv. Deck
Total Bldg. Floor Area
Garage/Storage
No. Floors
Greenhouse
Fin. Basement
No. Fin. Rooms
Required YesE No❑
Received Yes Non
Shorelines/Flood Hazard
Yes❑ Not Applic. ❑
Ownership
Public E Private ❑
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 au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATU
OWNER t R AGENT
SPECIAL APPROVALS
PREL4M. FINAL DATE
APPLICATION
DATE Y--/9.-631
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required ❑
Received E
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
844- 13S9
J2* *82.00
*82006
A *000
?35.8
03-19-84
g 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEYSSUEDL 9 -8 4
PERMIT2N.5, 9 z * 82, 0
TOTAL