1982, 08-02 Permit: 82A-6682 Remodel BasementPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3676
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
r\AOl
coat_ -i eta 10
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 1ADA-t.ALB
ADDRESS
4.
5.
CAcT6rt_
PHONE
Q'•e7-4. - 4-0e6
PARCEL NUMBER/S
21os42 3CC>
S.%GO-?: eAtuM -04:4%)N 0t
CONTRACTOR
ZIP
Actual Set Backs in Feet EKc sr( not.)
(South
PHONE
Size of Parcel
ADDRESS
SA MG
DESIGNER
ZIP
Type Const.
Occupancy
R. -1
'West
7
East
Sprinklered
Oyes ONo 0 Req'd.
Zane Classification
PHONE
V*atlon
f'Tlti/•
Building Area in Sq. Ft.
X32
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
• .4-32_
Unfin. Basement
TYPE
7. OF
WORK
0 NEW WALT.
Lti BLD. 0 PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
O M.H.
O MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8./'ZS MoDrc_ ptx-T t°"
4VALUATTO URCE
g. /.C,CA OF
t�^� UTILITIES
GAS
Enum. Dist.
OF .71%aren,Eur
Location (Area)
ELECTRIC
WATER
�r_SEWER
Ownership frd USE CODE
Public 0 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 authority 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
DATE OF APPLICATIONX O � 2 ? L •
SIGNATURE OF APPLICAN"AVCU.--
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Not ePtEeNc)
Planning
Fire Marshall
Co. Englnoe
Utilitie
Plans Examiner
\\ Or WcatV
SEPA Checkl
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 2O %®
PERMIT NUMBER
ecza - Ce& -
02* *20.00
*20.006
A *000 0
668.12
08-02-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
018,'0'271812,
DATE ISSUED
'8
_. O
6.68.22 *2iQ0,0a�-_
PERMIT NO.
TOTAL
a
O
ca
J
111