1979, 11-29 Permit: 79-8562 Finish Basement PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 1 '7-6' 6'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE 1/-04 7�
APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 4 COPIES Z
JOB ADDRESS . 0 2* r- * 3 200
``_I ���� j(I� .4.et �to LEGAL DESCRIPTION – SEE ATTACHED * 3200 ro
LO BLOC 5 B[}IZ/ PARCEL NUMBER/S 6/.6--(24/_geM67 ' Y
OWNER. f ace'..--i-e4.--,` PHONE 1...e)7"6 �C�.L.Kr Cn
3, ut1 o�,o,,, y.2 L ,'-- -/.- 5vAlNil VA1,F AdJ S E 0.0 0 U
ADDRESSS _ / ZIP Required Set Backs in Feet
P. /(�e)4:, IPA_ii-a-. / kf `.f•--:tAx - r^fq /&, North 'South East (West 1 1 ,-2 9'.-7 9
CONTRACTOR PHONE Size of Parcel Zone Classification
4. =2 L'r%
6
ADDRESS ZIP Type Const. Occupancy Sprinklered
J43/1,1'4 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP DWL Are, Basement Area Garage Area Storage
./ / a
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
TYPE No. Baths No. Floors No. Rooms Rec. Room
❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF k OTHER J
WORK ❑ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL} CERTIFICATE Req'd. Rec'd. Not Req'd.
•i a Lt 23- .Li--• of EXEMPTION
DE/SCRIBE WO K .f'' FEES COLLECTED
8- ' .7,L, ,LGA, �� _.r'%L�. ( :::ii, f -d-d a i 1_"s t2.-a..i
d,VALUATION.� 1 Source f GAS ELECTRIC WATER SEWER
92,a Ol) Utilities
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included %T -
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building ac
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. ' Plumbing
•
DATE // "..:A-30- 77 SIGNATURE--"N L. • :. . 0 Mech. a
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. red,-/-,-, ,,t, ,6,2,c, ,- Plan Check
Env.Health x & uta&
cx
/11-- / is - _ ,f t - °-� �3�-a.,`sti �Z [
SEPA O
Planning I—
v
— w
Fire Marshall Mobile Home a'
Z
Co. Engineer Other (Specify)
Utilities 00
TOTAL $ s7. -"),
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklisti/_ -7/�j THIS BECOMES A PERMIT.
DATE �� J OFFICIALf= ✓ i •CL . �s� 11 — 2 �} -7 9
�� 8'56, 22 5'2.0:0 (a). �
APPROVED FOR ISSUANCE