1981, 04-20 Permit: 81A-3709 Finish Basement I.
PLAN NUMBER APPLICATION/PERMIT PERT N MBER
4/0261 SI SPOKANE COUNTY - BUILDING CODES DEPARTMENT
(/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
.l.. Cc: * * 9 ( 0
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED J
LOT BLOCK SU DIV' ION PARCEL NUMBER/S � �I r Y
2. 1 2— i� IJ �` i- "Po - - 9 , J 09 Cpsi,) * (
PHONE n'
a� 23 -3350
OW R
ADDRESS � I ZIP Actual Set Backs in Feet a 7 G
� 2-.Cp - p1 j O North 'SouthEast 'West (� ! 0_ ,
COQ;tAC�TOR PHONE Size of Parcel Zo Cification
77rJ��i`"'/p1�4�CI�VJJjj 1
I lXjrikl\A6 Ii- 7 9.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
` NN Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
r
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
0 NEW KALI. 0 AD'N. 0 RPL. 0 MVE.
7. OF „�,� ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK UPJ BLD. 0 PLMB. ❑ MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE,fWOR 1� /,I t� C 1�(w 11 G�(� 1t Enum. Dist. I Location (Area) ` FEES COLLECTED
8. i L{�/L�f 1"10�^ `IA r`✓ �ELECTRIC �WAP6N1 ✓ 1 LJ ) Ownership 1
j� SOURCE {� USE CODE
OF Public ❑Private 1=19. o UTILITIES 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 Building 50
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 Plumbing
/
DATE OF APPLICATION 4/ G — ( SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health _
Nat l Wzr1�- SEPA
Planning _
CD
u..1
Mobile Home —4
Fire Marshall -
Co. Eh9in er R .9'
Other (Specify)
Utilities
TOTAL $
Pla Examiner
fQvlo9 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
laioT ian ' "PERMIT IS NONTRANSFERABLE 0)41 . ,1 3 7 a`9 Z 5 0.0 0 R F
r C PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED ' PERMIT NO. TOTAL