1980, 06-24 Permit: 80-6251 Finish Basement PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDINS CODES DEPARTMENT �zs+
z NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS Q 2 * * 5{j Q
1. `5, j s�/lorw6ss LEGAL DESCRIPTION - SEE ATTACHED * 5 6 0 0
tii
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. / I .SOUry 7.eo6RE-s5. A/».r/ory * 5 00
OWNER PHONEB * O C 0
3. /102r 5T .)'itisr 276-lP3z7 t�o�7': air 233'e/ i-/7vy
ADDRESS (Dec-- • IP Actual Set Backs in Feet 6 2 1.5 2
P,'a '�ck /0 9/ & Pew 97,06 North 'SouthEast (West 0 6-2 Lt-8 0
CONTRACTOR PHONE Size of Parcel Zone Classification
4. SAY/97e6�6 7 9.
ADDRESS ZIP Type Const. Occupancy Sprinklered
3/9iy/E Oyes ❑No ❑ Req'd.
DESIGNER PHONE Validation Building Area in Sq. Ft.
5. 5ADDRESSI o /o-S
ZIP Main'Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. •fir‘efg
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
0 NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. I /
7. OF OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req d. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area)
8. fm/A5m aL9Se, l /� FEES COLLECTED
ji VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9 5-1E30 UTILLITIES Public ❑Private
Single $
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 #S6. �,� -
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction.SEE REVERSEnSIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION 8O SIGNATURE OF APPLICANT 4j, i., Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE �/^^ / Plan Check
Env. alth � j 0,V--
2"e7-/OiUs `—oorA,il/S, ! /364era�F__ / SEPA I-
PI nnin9 / eerie./'yid r�
J
Fire Marshall Mobile Home w
Co. Engineer N6 '4-4441 /tit C 'S!Vt.y
Other(Specify)
Utilities CW-;_ eoe0-71R j.NC.Tb Z.
TOTAL $ Slc•CSO
Plans Examiner
L.lCLw c›/< WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bui in Technician PERMIT IS NONTRANSFERABLE 0 6a'2 4.•.8,0 6'2 5. 1 z *5 6,0 0 o H —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL