1991, 03-04 Permit: 91000765 SewerSPOKANE COUNTY DEPARTN,ENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permiUapplication, 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 visions of any state or l+ al law regulating construction, or as a warranty of conformance with the provisions of any state or local
SIGNATURE OF APPLICATION 1 LL /1 r
laws regulating construction.
OWNER OR AGENT / DATE