1979, 10-25 Permit: 79-6735 Finish Basement PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
.g 9767- 6^135"
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE /6 ^ -7R
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
q 02 * * 44,00
JOB S
I [�D 1 4-I / 2-/� ci �.
LEGAL DESCRIPTION — SEE ATTACHED * 4-4.00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S r�/ 64.2, _ -301 I * 4 4,G G c
2. I 1 19 O�I.--( eRIAJ N A\PPI�j: (O I
OWNER U ���� I J PHONE B * O,0 0
3. -rittkADDRESS I Ulm 673:42
ADDRESS ZI Required Set Backs in Feet
(�- 4-( �" c ' O 7 North (South East (west 1 0-2 5-7 9
CONTRACTOR5.1_,....,66b Size of Parcel Zone Cla sification
a. C ttrrC/\t- 1,1,0-'c �1"r
12., ->< 9 I mm 61-I.7 9.
ADDRESS - 12 I I V'JOc7 yJ N Kb • /L
Z �^ , /P Dyes ❑No Type Const. Occupancy kl
ered
O ❑ Req'd.
DESIGNER PHONE l( Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP DWL Area 'Basement Area Garage Area Storage —
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6. a,
No. Baths No. Floors No. Rooms Rec. Room
TYPE ❑ NEW Ili ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF �/ ❑ OTHER
LJ BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
wn,tK of EXEMPTION
DES6RIBE WORK
8. ON le- 1-11 r1c-1 ,h "r - 11915,•46 FEES COLLECTED
VALUATION Source GAS ELRIC SEWER/
9, 5I 000 utilities XL/ y / R��//y l�{C� Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included *I0
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this 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 regulating construction or the
performaof construction.� C/Qililiti
Plumbing
DATE �J5 19 , r /(�"1/ g SIGNATUREe (30 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
p
DEPT. REQ'D. REC'D. i ik-r-ro/09 Plan Check
Env. Health I I�m\il I
SEPA rzo
Planning - w
Mobile Home cr)
Fire Marshall z
Co. Engineer Other(Specify)
Utilities ,, -��I
TOTAL $ 7' Ihf
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA ChecklistiAi1C0/G i _, THIS BECOMES A PERMIT. ) *(� q (}
/ DATE 1`.1-24---77_.OFFICIAL'4, i.— Yr A ' * j U1 2 5 `
7 i ii ' .5. i ,`f 4. 3 U G. 1-
APPROVED FOR ISSUANCE -
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1 2 X11-(7
91
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