1980, 03-07 Permit: 80-1931 Finish BasementPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
OT/Gf BLOCK �UBDIV(STO
T
/
4.
DRESS
/q t �l t�%Lfk fi
COryTRACTOR
ia.44i.1
ADpRESS
DESIGNER
5.
ADDRESS
6.
CHANGE OF USE FROM
TYPE
7. OF
WORK
8.
❑ NEW
❑ BLD.
DE CRIBE WRK
❑ ALT.
❑ PLMB.
PHONE
2? -4 51-5"
ZI P
PHONE
ZIP
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H._
❑ MVE.
O PAOL
OTHER
! &L
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/526,5'4.2-/Y
ALO r 134. K 29-U
/ 7
/SRA -J DAtis A/ .2ND API),
Required Set Backs in Feet
North 'South
Size of Parcel
0S x // ^ /G- x 70
Type Const. Occupancy
Valuation
East
'Wes
Zone Classification
)4tetet
Sprinklered
Dyes ❑No ❑ Req'd.
DWL Area I Basement Area
Building Area in Sq. Ft.
Garage Area
�
Splitit�E�ntrryy Split Level
]
No. Baths No. Floors
Storage
Ranche
No. Rooms
CERTIFICATE
of EXEMPTION
Req'd.
Rec. Room
Rec'd.
Not Req'd.
i
i / - / i '
VALUATIOaN.. Source GAS
of
Jo Utilities
ELECTRIC
WATER d 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 — 7 eFd SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D_ REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
HOME OWNER'S WAPPANTv
YES
AL CONDITIONS:
it a fi z nnaat-
ti
IS4I-P
-714-
DATE
•
OFFICIALI� L16144, .
APPROVED FOR ISSUANCE
FEES COLLECTED
Single �C$
Building �z
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $'
PERMIT NUMBER
S'6-193/
DATE 3 — 7 Jd
,. *3250
* 3250
* 32506
E *0.00
192,9
03-07-80
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10'3I -O7.-$•0'
19.3,12 *32500_,