1981, 02-10 Permit: 81A-1342 Finish Basement PLAN NUML R PERMIT IViMBER
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APPLICATION/PERMIT �y� - t34)--12
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/L- /A tiSPOKANE COUNTY — BUILDING CODES DEPARTMENT
1
` it/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 2 * * 5 0 O 0
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1. LEGAL DESCRIPTION - SEE ATTACHED
* 5000 rn-
2LOT
1 .2BLi CK SUBDIVISION� � 0in61 � PARCEL NUMBER/5 -i*5� �, 5J� * Q Q 0 t
OWNE On, Pt-ION ,-)/;:-' - n3 Y
3. J f NI I"�(44,61,1_,..„
4- 6L L. '5.-/'5-72-1-1 A * C. 0 0
ADDRESS �( I1', I P�j Actual Set Backs in Fe t 1
n. 0 3 rI -j r`2,0 G North ISout& East (West l"('y 1 25. I2
CONTRA T R HONE Size of Parcel Zone,Classification 0 L" 0 fJ—8 1
4. ADD ES$I Iii �¢` ZIP ( T*y/p Const. Occupancy Sprinklered 6. 4 7 9.
NI. 1 S. "*Pi � [V ��" w ��l v I� �S Eyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
4- 0 700
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. '700
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. 0 AD'N. ❑ RPL. ❑ MVE.
7, OF / ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Re
of EXEMPTION
DESCRIBE WORK ) Enum. Dist. I Location (Area)
8. 156 .-_, 461\1‹
_ I‹ V Q FEES COLLECTED
VALUATION, S URCjE GAS ELECTRIC WATER SEWER
'1 OF nit
�! Ownership USE CODE
't12OC, UTILITIES 'nrit l lrC✓ Public 0 Private il
1 z 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 thisO,.
Building
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 regul ing construction or the
performance of construction..SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
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7
DATE OF APPLICATION !/ `' / SIGNATURE OF APPLICANT �r� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE �y� � �
Plan Check
Env. Health 11 ! I J1,100 l -r+�61 15ev Ij
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cold lA -z.- •.01 - 7v-e-; -I(.,:j- „5-,Nig SEPA c�i.
Planning
CD
/f2-7/ )
Fire Marshall Mobile Home
141 AV CA)Li f N `42rA
Co. peer \ /l�jl/ f Other(Specify)
Utilities '' /
TOTAL $ o
Plans Examiner
en Al iod.S1l 4W/7 2143/ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
„impi �ician F 41:r PERMIT IS NONTRANSFERABLE '0'2;i R ''6 `,t,0 1; 1 3 4"2 z *511.0 1.0 0 a i-- —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCEDATE ISSUED PERMIT NO. TOTAL
-5141-5
X60
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