1982, 03-12 Permit: 82A-1777 Finish Basement PLAN NUMBER APPLICATI4... PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ) > - 1111
` NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
0..../
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Job ADDRESSLEGAL DESCRIPTION — SEE ATTACHED Q * * ` " 0
1. E . , \4 Tr, t, C.,, 3 , r.
LOT BLOCK SUBDIVISION PARCEL SUBDIVISION
2. S I G,(eN»1k�� A.GQ * 3v00Y
OWNER PHONE
C iAQ�I i I2 G- C('12-0%Go 2, 4c i- v5C0Q3 A * n C
3 ADDRESS ZIP Actual Set Backs in Feet
Ek:k;r r avCi 1 7 7 6 �=
V- , 11(o l4. `26-r -1 CtC-t')C North 'South East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 3- 1 2-8 2
Pr M4. � ZIP Type Const. Occupancy ` ��Stp inklerimed U`~ 6 4 7 Q'
ADDRESS
GmwtcS ''p N "ca,-- Oyes 0N 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
St Soo 1221
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. -- 1'22.1
// No.t Baths No. Stories No. Rooms No. of Dwellings
TYPE I: NEW NI ALT. 0 AD'N. 0 RPL. ❑ MVE. .. 1
], OF 0 OTHER CERTIFICATE Req'd. Rec'd. Not R$q'd.
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL V/
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) T •
FEES COLLECTED
8. T I tots -2i laN''' E.,W1C,ev C I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership , USE CODE
`
g \ioa UTILOFITIES .c�,�c�TIC_ Public ❑Private it
Single $✓C::�
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 34)t 694)
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 INSPECTIONSlt
n Plumbing
r�—( �2 1niv Mech.
DATE OF APPLICATIO SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA a_
Planning O
_ c)
Mobile Home LU
Fire Marshall u..
Co. Engineer Other(Specify)
Utilities
TOTAL $Sla`4Z)
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE (r3 —I 2-8 2' 177c�,, z * 3"O,GAO °a.IJ
�����j Cy c PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL