1982, 02-08 Permit 82A-896 Permit Basement RemodelAPPLIGATIONI PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
PERMIT NiUMBER
/ti
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 1
2.
3.
4' ADDRESS
0-3 rrrAN 60L1.2.-r"
LOT SUBDIVISION
y'�
b' P,ti !0O t"T.
OWN R
cat.— r)iike,„
BLOCK
2_
ADDRESSI OCcPN (,1
CONTRO, 4 _y
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North 'South East
Size of Parcel
ZIP
Type Cgnst.
IN
Occupancy
(West
Zone Classification
-
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
8.
❑ EW Z<ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
I BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRI yy41K
�3
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATE R
❑ OTHER
SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private
SE CODE
Req'd.
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
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 INSPECTIONS
DATE OF APPLICATION r v( I / g a
SPECIAL APPROVALS
?'AME DATE
Env. ealth
Planning
Fire Marshall
Co.lEeert;5tC1
0
Utilities
SEPChecklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS;
n ' t)C4Ce2-N'4 (
8.- 5-z..)
Rec'd.
Not k3.e�'d.
FEES COLLECTED
Single $
Building ` L
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
h O
02* *2000
*2000
*20,006
A *000
895g
02-08-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
rii r rnov
---BvNd1c�T`echnic ,�
PERMIT IS NONTRANSFERABLE
02,08-82
89,6z *20.000H
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL