1991, 03-21 Permit: 91001199 Gas LogSPOKANE COUNTY DEPAR1'N'fENT 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 DATE
OWNER OR AGENT
APPLICATION
PROJECT NUMBER= 91001199
pLHmii
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= 72541 1004
MARTIN
PHONE= 509 575 70
FNUNL
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CONTR
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TNG FEE
PHONE— 509 924 OR
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MECHANICAL PRMT
AMOUNT PAID
AMOUNT OWING
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SPECIAL CONDITION CHECKLIST
Dept: Date: Condition:
Dept, of Bldgs.
Engineer's
_
Planning
Utilities
Other
Project # Use*
Special Insp. Final Report
Hydrant ( ) -_
Lock Box
R|D/CRP
Easements
Rooup|uno/|mp,ovemonm
Bonds
Bonds
Double Plumbing
ULID
|nit
(in)
Appr:
(out)
~`^~~`^^``^^`^^~~`^`^~`~^~ THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTRCATEOFOCCUpANCY0N,/```^^^~~~~~``^~~`~^```~^
DotemoovoghxC/0pr000aonO: Plans pued for final processing:
Temporary C/O issued Certificate of Occupancy ssued:
Office file review by Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned' Received by: