1991, 05-24 Permit: 91002863 InsertSPOKANE 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 s'�i �X Q
OWNER OR AGENT .
... .. if f NUMBER-
iMBE : 91
002{63
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APPLICATION
DATE
'ISSUED PERMIT
9/
DATE= 05/24/91 PAGE= 01
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SPOKANE W %"•'i SPERMIT '!
USE=
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tit
(4= 001179 PLAT NAME=
00000000 F/A=
GAt STEPHEN
JKANE
PARCELO= 16541-0206
WATER DIET
PHONE= 509 924 5018 •
09 924 501E:
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DUI
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nONTRACTOR= OWNER
ITEM DESCRIPTION
INSERT
ra UANillY
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PAYMENT. DATE..
05/24/91
TOTAL. DUE=
RECEIPT4 PAYMENT AMOUNT
3201 50,00
.00 .:)T L. PAID=50.00 ,00
.. .. .. ..
AMOUNT PAID AMOUNT OWING
50,00 ,00
PERMIT TYPE FEE AMOUNT
MECHANICAL •. #''! I 50,00
50,00
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CO
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SPECIAL CONDITION CHECKLIST
Project
Address•
Dept:
Dept. of Bldgs.
Engineer's _
Planning
Utilities
Other
Date:
Condition:
Project # Use.
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
!nit: Appr:
(in) (out)
*'***************************** THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for CIO processing: Plans 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' Date.
Plans returned: Received by:
No response from owner/contractor - plans destroyed: