1983, 04-21 Permit: 83A-3147 Basement Exit PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY - 147
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
1 STRE Is r5ADDRf 6- 114
PARCEL IV. 5,..1-, 32—.22
2' LQS BL CK SUBDIVISION LEGAL DESCRIPTION:
r — Ma Ell --t-646
3.
OWNER 644 f1 � P PHONE P ONS j 784 /
M I TNG DR SS_ [[ 7.1.f4. Y� Actual Set Backs in Feet to: v>4j Cj 1 I kJ
North South East ` I I West
CO TRACTOR (• Q LICENSE EXPIRES %1$94... Size of Parcel Zone Classification Residential✓� * * 3 0 0
c P. ���VV 1`� � Iv� Commercial❑
4.
ADDRESS --7 h��/�, `� Type st. OccJ nc Sprinklered •
* 3 C 0 0
- / f l'rvlr""`V s-ii, Et��� ✓ y V ❑Yes 0 N ❑Req a.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area H * u w
5. -6 "16
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
64 — - 1 — ".3
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement LL 7
6. C 3 / `
� No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPEW ,.B ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF WORK D. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes❑ No❑
DESCRI E WO K Lsrl L1 I / � (� Shorelines/Flood Hazard Plans Required❑
8. ?d Yes❑ Not Applic.❑ Received ❑
VALUATION OURCE GAS ELECTRIC WATER SEWAGE Ownership i FEES COLLECTED
9. 1'700 C) LI PUBLIC❑ SEPTIC❑ public❑Private
/d�V UTILITIES PRIVATE❑ SEWER❑
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 3e7
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE REVERSE SIDE FOR R •i'E. INSPECT I .S Plumbing
SIGNATURE OF / APPLICATION/1 /-2 _ ®5
OWNER OR AGENT Asp- ii�i/ i ���_—g./ DATE ( Mech.
SPECIAL APPROVAL SPECIAL CONDITIONS: EE REVERSE SIDE FOR NOTICE)
1 Plan Check
PRELIM. FINAL DATE b� p �A I/jf' �7 �r� ,�p C//
Env.Health (1 ,V v(�. !-� L��"I 7
SEPA
Planning
Modular/
Fire MFG.Home >-
Prevent. d
O
Engineer Other(Specify) V
W
Utilities g LL'
TOTAL $ v
SEPA
WPlans Q PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERMIT.EN MACHINE TED IN THIS SPACE,
Exam. Nof '` PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildingIN 180 DAYS ((�� Q/� 1 p q
Tech. Z( DATE f3SSJED 2 1 _0 3 PERMIT�O1. 47 5 * 3 8. 0 04y-)J L