1980, 11-17 Permit: 80B-3860 Finish Basement PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
////7fr0 S) 13 - 'moo
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
grNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
iir-
JOB AD RESS
C/� LEGAL DESCRIPTION - SEE ATTACHED 00 * * 5 0, 0 t
1. LOT � BLOCK �' �� AI ..
CK SUBDIVISION PARCE'_iNUME3 4/S IV, .24;5 , � 497 4- `- :_) 'c' 7, C -,
2. 4.- v G2filoI< 'V * 5C. 00
OWI IRori -i V I / I P ON 7�
3.
AAIICCVVII V(1/yNl C;
0 12 E7
ADDR,�¢S P Actual Set Backs in Feet
1r/`ILS I3 6. 7t' [ I 6 <:�;. 9
North South East West
CONTR CT PHONE Size of Parcel Zone Classifilc4v�ation 1 1 - 1 . - C
t.
4. ADDRESS ZIP Type Const. Occupancy �� Sprinklers
6479.
❑Yes No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE �/ No.Baths No. Stories No. Rooms No. of Dwellings
NEW LTJ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OFRe❑ OTHER
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not d
of EXEMPTION
DESCRIBE WORK ! Enum.Dist. Location (Area)
8. { �� {�jl I.� ��,(,f I y)1 ) I FEES COLLECTED
VALUATION SOURCE GAS V�r ELECTRIC WATER SEWER
/ Ownership I//USE CODE
9. �' 000 OF
LLITIES I� Public 0 Private ( 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 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 INSPECT! S /�/�� Plumbing
DATE OF APPLICATION 16/9"/g0 SIGNATURE OF APPLICANT Givat� (2, Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Inm/ ! kQ-/ jPlan Check
Env. Health �` /� I l�
(I y�1 I SEPA n
Planning ,D
Fire Marshall Mobile Home J
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Acting cian , t. PERMIT IS NONTRANSFERABLE 1 lIt,'I,7-48 0 38 6.0 z *5 0.0 0 a H
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL