1981, 10-09 Permit: 81B-491 InsertAN NUMBER j APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH an JEFFERSON / SPOKANE, WASHINGTON 99360 / Seat <S6-3615
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOBADDRIESS / LEGAL DESCRIPTION -SEE ATTACHED
3.
4' I_ADDRESS
1J o c�
DESIGNER
5. ADDRESS
❑yea ONO ❑ Req -d.
CHANGE OF USE FROM
;Y- 767/
Area of Decks
Flninrad Basemen[
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q
PHO/1(y� y
nv
❑yea ONO ❑ Req -d.
CHANGE OF USE FROM
TO
Area of Decks
Flninrad Basemen[
Unfln. Basement
6.
TYPE
❑ NEW ❑ ALT.
q/D'N. ❑RPL.AMVE.7WORK
No. Bates
No. Stories
No. Rooms
No. Of DWellln9
,❑�. OF
E BLD. ❑ PLMS. IxYll E M.H.
CERTIFICATE
Req'a.
R¢c'e.
Not Re'e
ed EXEMPTION
D 5 RISE WORK 1Enum.
Dist
Location 1Ared1
8
FEES COLLECTED
VALUATION SOURCE GA$ ELECTRICOWner.. 05E CODE
OF9.VTICITIESPu61ic OPtivdt¢ ❑
fin9le �'
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 work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
/14/ � �f-��
!-7
DATE OF APPLICATION SIGNATURE OF APPLICANT
Meer.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
ESV. Heath
SEPA
wane nit
Mobile Home
Other (Specify
Fl re Mnrsnell
co- Engineer
Umnes
TOTAL $
vlanz E.ammer
PERMIT IS NONTRANSFERABLE
WHEN MACHINE VALIDA'
THIS BECOMES A PERMIT
' 0
SEPA 1 Ir arl0st
umn9 Ta�h� -.d
/
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
JA -ISSj� UOED 8 1
PERMI14NPI C t T n TOTAI.