1981, 05-29 Permit: 81A-5272 Finish Basement PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT .=5 "A '" 52 V
,1.(2—..... NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ni G * * 6 8 0 0
� � �I�IZrtC LEGAL DESCRIPTION - SEE ATTACHED * 6 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 1 TL DE t 14ili�i 22.[e-3i'1L `r'J ,�— Q O * 6 8 0 0
OWNER /� PHONE
3.
. ,A.5 • L.
• L�/L.S T. 4 {� * 0. 0 L 2K
ADDRESS'I`lZIP Actual Set Backs in Feet 5 2 7. 1
Pc D. *Bo( 221 V(ERR°OLE. 4463.) North 'South East (West
CONTRACTOR PHONE Size of Parcel Zone Classification ( 5- 9-8.1
G611111
MI
4'
ADDRESS
- ZIP Type Const. Occupancy Sprinklered
f 6,4 7 9.
lt ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
�/ No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
LSI NEW VALT. 0 AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK IS/BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Re d.
of EXEMPTION
DESCRIBE WORK Enum.Dist. !Location (Area) '
8. T 1NlSt-1 -13 AS601(117 1
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership .USE CODE
a La (90°' OF �_/
UTILITIES Public ❑Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" ovisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ord. ances governing this Building b'b •
_
type of work will be complied with whether specified herein or not. The granting of mit does not resume
to give authority to violate or cancel the provisions of any other state or local law r gu ting cons u on or the
performance of construction.SEE - ' VERSE : DE FOR REQUIRED INSPECTIO , Plumbing
,
DATE OF APPLICATION 7" -CT: OF APPLICANT v � i Mech.
SPECIAL APPROVALS SPE AL CONDITIONS:
NAME DA E Plan Check
Env. Health
SEPA >-
Planning O
_ v
Fire Marshall Mobile Home u
J
lL
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
/(tiOre. aft' .
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
1
Buil.'ngT i n PERMIT IS NONTRANSFERABLE '054:'2�9.; s152'7.2 z *6 &O.O 2 H. -
.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL