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1984, 04-05 Permit: 84A-3020 Finish BasementPLAN NUMBER APPLICATION /PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PA:CEL NO. 1. 2. LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION: 3. vr­_snc .i MAILING ADDRESS Q-1- . 1'Z8�C CONTRACTOR 4. S_4Wv%M ADDRESS rte•p.�C DESIGNER W PHONE LICENSE EXPIRES PHONE ZIP PHONE Actual Set Backs in Feet to: V N l North South 'Ee I West Size of Parcel Zone Classification ResidentiaN' Commercial E Tyan CWq1 Occupancy Sprinklered Iz —�N I ❑Yes ❑No ❑Req'd. New Const. Valuation I Remodeled Valuation I Total Bldg. Floor Area 5. ADDRESS t ZIP Mai�or Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck FIasCeOm Unfin. Basement 6 No. Baths No. Floors No. Fin. Rooms No. D Ilings TYPE I-] KEW ALT. ❑ AD'N. El RPL. ❑ MVE. 1 ----- s t 7. El OTHER WORK E//BLD. ❑ PLMB. ElMECH. ElM.H. ElPOOL Certifi.ofExempt. Required Yes❑ No Number or Variance Received Yes❑ Na❑ s DESCRIBE WORK Shorelines/ Flood Hazard Plans Required ❑ /\1L� �N'C Yes❑ Not Applic.❑ Received ❑ ALUATION SOURCE GAS ELECTRIC WATER SEWAGE SEPTIC 0 Ownership FEES COLLECTED 9 t.DO UTILOITIES PRIVATE O SEWER ❑ Public ❑ Private ❑ 1 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 Building work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- thority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVER //��S��ID��//EFOR REOUIRRED INSPECTIONS APPLICATION) O Plumbing fIIWNFROP FNTY ��G"��t /�'f_ {C t�Q DATE Mech. SPECIAL APPROVALS SPECIAL CONDIT NS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health N M-L4.S'7 Planning �Q�•ti�Ll�i (-�(otit�tZC�En;<y r✓1�C�t'l6VCi©tN�T�j Fre �� 7 Q�6NRI�tL ApEl� Prevent. ��j Engineer "'ref, Utilities � /�� • plansPERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building 9l % IN 180 DAYS Plan Check SEPA Modular/ MFG. Home Other (Specify) PERMIT NUMBER TOTAL $ Ge •00 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE4S5UEW 8 Q PERMIT�4 2, 0 z *68.00ROAL