1980, 09-23 Permit 80B-0694 Partial Basement(PLAN NUMBER
9/ /
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB A DR SS
I
• 1 L
LOT
2. I I
3
BLOCK
1 kl jR1-- Rt2 ,
SUBDIVISION N1NJ 3Z°
OWNER
IC'Tl/6.\ ISl/ lkIIVk/
ADDR SS
4•+
CONTRACT R
4. ADDRESS
PHON
Zl P
219
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
36,621-3 62111
Actual Set Backs in Feet
North (South East (West
Size of Parcel Zone Classification
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes EINo ❑ Req'd.
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
�❑-,/NEW Er/ALT.❑ AD'N. ❑ RPL. ❑ MVE.
UO BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCRIBE WC RK
,tom
VALATION
9.
SOURCE GAS
OF
UTILITIES
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
ELECTRIC
WATER
SEWE R
Ownership USE CODE
Public ❑ Private
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' / ff SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Rec'd.
Not Re
t.�
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
10'
PERMIT NUMCtR
02* * 1 0.00
* 1 0,00
69,32
09-23-80
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT-
(-II r nnnv
l`echni
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0 94- 2•f3'` 8 '0
DATE ISSUED
69.4z
PERMIT NO.
*10,002 —
TOTAL