1982, 02-05 Permit: 82A-846 Finish Basement PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT Wiz'` - e'` '
)1-0 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
k..."' APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E ( )-( 1-k4::: LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISIONAEPRCL NUMBER/S rj4,Z_Z,L G *
2 0: 0 0
2. I i3O.1-14•Aa0 `i"a Ni bii4Dat *; -k-1a✓ky+-t y ::
OC 17)
OWNER PHONE
�',
a 'Ll) D() `k IAE( i.; --6E.h.1 iti c -cc)C0 * 2 0.0 0
ADDRESS ZIP Actual Set Backs in Feet ah .T'. 0C
-E. 13G2—i - ,t-kE'►e� etc-t. North (South East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification r'
4. tYvtai "f"-'611.114M..-4
_ R
ADDRESS� � ` ZIP Type Const. Occupancy Sprinklered 0 c'— V 5 2
4...y►�C.
' ' � j Yes ❑No ❑ Req'd. 4 7 9
DESIGNER PHONE Ve ation Building Area in Sq. Ft.
5. � C.i., C.,
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. -- C X3 "—
TYPE .,( No. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW y�J ALT. ❑ AD'N. 0 RPL. ❑ MVE. j
]. OF lam(/ ❑ OTHER
Il
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not7'd.
of EXEMPTION V/
DESCRIBE WORK Enum. Dist. ILocation (Area) FEES COLLECTED
8. Fikli` G-i-Q.Tt sJ C,Y irr -tV'T I
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership ,_, �JSE CODE
Lb° UTILITIES uj ` Public 0 Private
l!C 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
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 REVERSERSIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION) of-- 7� c�4L SIGNATURE OF APPLICANT't�g ; 41G Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
NIG T 7-37P1 n SEPA �:
Planning
c.,
Fire Marshall Mobile Home
ix:.
Co. Engineer Other(Specify)
Utilities
TOTAL $ '.0-(::i:D
Plans
Examiner
NCJT
c?_...i=_,Q0 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
(\� ng Te nician ,
CJ,I PERMIT IS NONTRANSFERABLE 0.2!.=7.'0 5.`_8.2. 8 4.6 °z *2'0.0 0 a {J- —
' e % . 1J 9C' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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