1991, 06-11 Permit: 91001281 SewerSPOKANE 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 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 OR AGENT DATE
SPECIAL CONDITION CHECKLIST
Project
Address: Project # Use'
Dept: Date: Condition: mit: Appr:
(in) (out)
Dept. of Bldgs.
Planning
Utilities
Other
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
nnodP|ano/|mpnovemenm
Bonds
Bonds
Double Plumbing
UL|D
`~^^~`~~~^```~~^^~^~^~~~~^ THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OFOCCUPANCY ONLY ```^^`~`~^~~^~`^~~~~``^^~`~`
Date received for C/O processirig: Pans pulled for final processing
Temporary C/O issued: Certificate of Occupancy issued
Office file review by: Date:
Filed insp finaled by: Date:
Nnety days afterC/O issuance
Owner/contractor caed regarding the return ot plans: Date:
Plans returned: Received by: