1991, 02-25 Permit: 91000202 ResidenceSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE; WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS /NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit /application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the . . -'ons of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF , APPLICATION
OWNER OR AGENT �!�— . DATE 2
1 .11..DING
. i`t,• ...........4." i��' ...... rt• TJ •P: 'll• 3(..*** id fi 'Pr ;t'
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use
Dept:
Dept. of Bldgs.
Engineer's
Date: Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID /CRP
Easements
Road Plans /Improvements
Bonds
Planning ! Bonds
Utilities
Other
Double Plumbing
ULID
Init: Appr:
(in) 1 (out)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * ** *THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY * * * * * * * * * * * * * * * * * * * * * * * * * * * * **
Date received for C/O processing: Plans pulled for final processing.
Temporary C/O issued: Certificate of Occupancy issued'
Office file review by: Date:
Filed insp finaled by: Date:
Ninety days after C/O issuance:
Owner /contractor called regarding the return of plans: Date:
Plans returned: Received by
No response from owner /contractor - plans destroyed: