1990, 11-16 Permit: 90005855 ResidenceSPOKANE 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 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 rA -DATE-
OWNER OR AGENT �lr
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Project
Address:
Dept: Date:
Dept. of Bldgs.
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
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY
Date received for C/O processing:
Temporary C/0, issued:.
Office file review by:
Filed insp finaled by:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:
No response from owner/contractor - plans destroyed:
Plans pulled for final processing:
Certificate of Occupancy issued:--_.___
Date:
Date:
Date:
Received by:
Init:
(in)
Appr:
(out)
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
VV.1303BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(508)456-3675 compilem permit/application is true
1 certify that I have exam inedth is permit/application, state that the information contained in it and submitted by me or my agent to
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 ofthis 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 I of any state or local
laws regulating construction. APPLICATION
SIGNATURE OF DATE
OWNER OR AGENT
PROJECT NUMBER= 9OOO5855
DATE= ii/16/9O PA�E= O2
I%%UED PERMIT
-K X- ENER�Y IN!- JR
*******************�********
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*********************
************************* E�ER�Y CODE PLAN REVIEW *****
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-----------------------
A�PLIC�NT ,~
.... .... .... .... .... .... .... .... .... –.... .... .... .... .... .... .... .... .... ... .... .... .... .... –.... .... .... .... ....
~�~�AUTHORIZED OFF�CER '�~�
******************************** THANK YOU ******************************
*
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=E.M
D THAT T
~ '`W�f�EANY U�� " Ny A ' NI nn n^c En� �" ^�Mfr-�IWA Av�n��� ``' `~''^'` — T��H OFURL% � ED IN THE C - ^
E
i yL ���� *u � » y� n�� �n L
r�x`n�'� '"` ''' F
— COPY OF
-----------------------
A�PLIC�NT ,~
.... .... .... .... .... .... .... .... .... –.... .... .... .... .... .... .... .... .... ... .... .... .... .... –.... .... .... .... ....
~�~�AUTHORIZED OFF�CER '�~�
******************************** THANK YOU ******************************
*
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date:
SPECIAL CONDITION CHECKLIST
Project #�
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP .
Easements
Road Plans/Improvements _
Bonds
Bonds
Double Plumbing
ULID
Init:
(in)
Appr:
(out)
THISSPACE FOR COMMERCIAL PLANSTRACKING, 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 ins- 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:
RPr.P.ivPrt hv•
Date'
t