1991, 12-18 Permit App: 91008602 Relocation, BasementSPOKANE 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 provisions9f 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
OWNER OR AGE �u ��APPLICATION
TE / "� —s7/
FJ DA
Ennw ril'LAGdr
•
.......:::......
COUNTYK��������������UB�U��8��@�
FLU0~ ���"°�
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
agentI certify that I have examined this permit/application, state that the information contained in it and submitted by me or my x 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 provisions 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 onAGENT DATE
AP�LICATIUN
******************************* PAYMENT EUMMARY ****************************
i2/iG/9i
BUILDINO PERMIT
PiUMBINC PERMIT
RELOCATION PRMT
5O.00
-------------
3i2.92
232.�2
3O.00
5O.�O
3i2.92
PAYMENT AM3UT
****************************************************************************
****************************************************************************
PROCF�
PRI�
APPROVED FOR
APPROVAL FRO
PERMIT
FOO
CG
BY: JOHN LARON
BY: JOHN LAR%ON
ONLY - FURTHER CO�
PLANNIN'T IN CGNJ�N[
***************************** THANK YO; *********************************