1981, 05-22 Permit: 81A-5034 Finish Basement PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
5/aa/87 SPOKANE COUNTY — BUILDING CODES DEPARTMENT g�`� b70 54z
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
� APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
0 2 * * 5000
JOB ADDRESS l LEGAL DESCRIPTION SEE ATTACHED 0
1. �.. ���J Z.2?€i — * 5 v 0_L, v 0 u)
LOT BLOCK SUBDIVISIONPARCEL NUMBER/S * 5(i 0 0
2. 4 10 FAQLsi UAi;,:iJ 1`671.-
OWNER PHONE 2.ct,542-2.io4 A * 0 0 0 c
3. Ll)AVIV r:- ,,i F—u)R(-r C(2,0-e.'›-2.:-.?-3
ADDRESS ZIP Actual Set Backs in Feet 5 0 3•3`'
i.
INT ,ACtf7_.
F I4._.-�C 22.N 0 1.-2-. ? North South East West 0 5-2 2-8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
CPidf`, - E tweseex, vivot�f1 6.4 7 9.
4' ADDRESS ZIP Tyslonst. Occupancy Sprinklered
vf1t).)6_ R."�3 ❑Yes 0 N 0 Req'd.
DESIGNER PHONE Val ion Building Area in Sq. Ft.
6, q�o
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. Q(po
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF ❑ OTHER -
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not F�q'd.
of EXEMPTION _ V/
DESCRIBE WORK Enum.Dist. Location (Area) FEES COLLECTED
8. Fti A A L;+N o;:,lbt i:i �
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership CODE
-1 UTI LOITIF ES EP(re- Public ❑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 SCJ: }r>
type of work will be complied with whether specified herein or not. The granting of a permit doe not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating cons uction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECT!/'NS Plumbing
DATE OF APPLICATION.--C- JJ --d SIGNATURE OF APPLICANi IC ' te,C6 Jg Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: /�
NAME DATE I, Plan Check
Env. Health
I Vfrif P'l`fl `I SEPA
2
Planning `
.J
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities � , ,+� J
TOTAL $
tans Examiner
1`,./,.of ? ' 1.).
S 'rr, ;n,��„ _``ii �f iY',/:ri-; i00.1
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B 'din echnicgn_ PERMIT IS NONTRANSFERABLE 0'5. 2 2',-'8'1 5 0 3r..4 z *5 0.0 .0 Q.0 J -
i� 1 ` p' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL