1981, 03-12 Permit P81A-2237 InspectAPPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH aft JEFFERSON / SPOKANE...! HINGTON BUNKO / Ia091.660616
APPLICANT: COMPLETE NUMBERED SPACES - PRESS 11A111D TO MAKE 3 COPIES
Nla AOORESS
ER 41444
3.
ADD Li .eittes�PA-S1Je
CTO c nT -4��*4 (U—
P II
Ff 94./sQ '1
140 Eta
DESIGNER
S' ADDRESS
auraOE oc 11E[ F ROM
a
ITO
0 ALT. 0 AWN.
1, OF
0 OLD. • PLMB. 0 MECH. 0 M.N.
W0OR0 N Inrm1
Enum. Diet. !Location BV�p IRr:ORN L waiFR Oru. P
a ri/j t.0 I I SEWER MI USE CODE
OURCE OAS I ELECTRIC
OTILOITIEEI It
Poona D Rlmm O
1 hereby ce,Uly Ihal I have read and e6.110 nln application and have read the 'NOf Is;1 " e nio s included On 'Mute sl1th
a and know e tamNile e t0 be e ancorrect All pro.0 v.10ns ul laws ul r
e n thts
type W wad/ will be cote Pl lad with whedlel sllecilied herein rn o1, llie granbltg nl 11`on, not PresUlrle
to give ..thodty to violate or Caneel tha p1ov13i0nt Of any other dale o1 lour law ,e0:.l.a.,ul ,,llnwetlm, to the
Iwllm mans. 01 Conatnlcll0n. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE Of Ct. r'ANON_:% o—pO/ SIGNATunl. nl nllucrry l ..
ys N
PHONE
9z¢o3Jo
ZIP
PHONE gasp
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NDMaERR
Actual sal Baena In Fmt
Norm ISw111
So. or Pnc•r
eat
Zone C1..1If Imtlon
Typo Coon. Octupancv Sonnicluf
Ovm Olio 0 Raga.
Valuation IBuilding Arm in So. Ft.
❑ RPL.
ZIP
main Floor IOPP FIP a B.camArea 1
Arm of Omni I Flmmm Bammenl I unlin. Bewnent
No. Bato, I No. Stories I No. Rooms of B•.tllnae
CERTIFICATE RimM. I Pm A. rot 0.00.
of EXEMPTION
IPSCIAL APPROVALS
NAME DATE
EN..Nea11k
BUPA,'
1::
F.n
SPECIAliCONDITIONS:
❑MVE. 0 OTHER
❑ POOL
Swam
FEES COLLECTED
$ nal 5
Building
��j�o
Plumbing SaMach.
Plan Check
BEPA
Mobil. Hum.
Other ISp.cilvf
TOTAL. S°,_ °
03• •300
.300.E
•30015
A •000 8
2235P
03-10-8.1,
P 6479,.,_,P:�
3 • •. z o.o ,
•200 13_
•2000
•000 8
2236R
03— 1 0-81`
4 6479.. ..
OWNER
INSPECTION RECORD
CONTRACTD•R
LOCATION
N SE W
SET BACKS
TYPE OF WORK
FINAL INSPECTION: -5 7) f fiy-e( /
DATE REMARKS:
1/17� i Cep //G /