1991, 11-26 Permit: 91008179 Mechanical FixturesSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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 orcancel the provisions of any state or local Iaregulating construction, oras a warranty of conformance with the provisions of any stateor local
laws regulating construction.
SIGNATURE OWNER OR GENT — c� APPLICATION
DATE
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Project
Address: --
Dept: Date:
Dept. of Bldg
Engineer's
Planning
Utilities
Other
SPECIAL CONDITION CHECKLIST
Project #__—___
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
` Init:
I (in)
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY
Date received for C/O processing: Pians 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:
Plans returned:
No response from owner/contractor - plans destroyed:
RP.CP.ivprf hv•
nate,