1981, 01-07 Permit: 81A-169 Finish BasementbAN NUMBER
1
/Ma/ SPOKANE
SPOKANE COUNTY — BUILDING CODES DEPARTMENT.
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3•COPIES
JOB ADDRESS
S, r LOCK HaQ.c4
LoCK SUBDI ISION
1ct
�Aw h.1
2. 1
LEGAL DESCRIPTION — SEE ATTACHED
EARLV 7i Aw nl "a ' ' AM .
OWNER
3 BRAN P C ARAe1/44 u
ADDRESS
S. fabs Efr¢L'-! bA‘,..> N
PHONE
Et2t Z$70
PARCEL NUMBER/S
2454 z.-300"7
ZIP
CACI 03'7
Actual Set Backs In Feet__
North (South- bQ-t
East
'West
4.
CONTRACTOR
ADDRESS
PHONE
Size of Parcel
ZIP
Type Const.
n)
Occupancy
1).-73
Zane Classification
�rNCTCC rICWKILLt/
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Val tion
1,Seo
Building Area In Sq. Ft.
400
ADDRESS
ZIP
Main Floor
Upper Floors- 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
PI/NEW /ALT.
Oer BLD. ❑ PLMB.
TO
Area of Decks
Finished Basement
lei00
Unfits. Basement
❑ AD N.
❑ MECH.
❑ RPL.
0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
1
No. Stories
No. Rooms
31
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
vt
DESCRIBE WORK
Enurn. Dist.
Location (Area)
d�
VALUATION
#1,Sob
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
5e7P•Tic
Ownership ,,,//
Public DPrivate IS
USE CODE
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 APPLICATION
SPECIAL APPROVALS
NAME DATE
. Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SERA Checklist
��Itl lrlchnician
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
TnV l OP U-
ec.e L�rQ..t ccat
'RAsnal-I C) EC -c
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building #2.6.00
Plumbing
Mech.
Plan Check
SEPA•
Mobile Home
Other (Specify)
TOTAL $2"• 00
PERMIT NUMBER
SIA-i12q
02*
A
16.8
01-07-81
2 6479.
*25.00
*2500 N
*25006
*Z.. 0 0 8
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
1 6:915
PERMIT NO.
*215:00grl• -
TOTAL