1991, 07-16 Permit: 91003607 ResidenceSPOKANE COUNTY iEP, RTMENT 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
OWNER OR AGENT DATE
APPLICATION
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004499
PLAT NAME= RI
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SONE NUMBER- 509 924 6497
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DEECRIPTION
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GROUP TWE
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CHANG_ OF
VALUATION
FFE AMOUNT
........................................
56,00
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ITEM DESCRIPTION
............................................................................
OG
PHONE= 509 922 5000
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'iNTRY PLUMBING
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ITEM DESCRIPTION
PHONE= ?i'' -i l..= 't!y: :�y..j •,.
EFF AMOUNT
Project
Address.
SPECIAL CONDITION CHECKLIST
Project #_ _Use:
Dept: Date: Condition:
Dept. of Bldgs.
— ---- Special Insp. Final Report_
Hydrant ( )
Lock Box
Engineer's —
Planning
Utilities
Other_.__
RID/CRP
Easements_
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
!nit: Appr:
(in) i (out)
' THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY_"".'""""'`""'.""
Date received for C/O processing
Temporary C/O issued'
Office file review by•
Filed insp finaled by:
Plans pulled for final processing: —_
Date:
Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _____
Plans returned:Received by:_.___
No response from owner/contractor - plans destroyed: _____
Certificate of Occupancy issued::___.
SPOKANE 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
PROJECT NUMBER= 91003607
DATE= 07/16/91
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PAYMENT DAii::.
07/15/91
iorAL DUE=
PERMIT TYPE
4713
FEE AMOUNT
.0c) TOTAL PAID -
AMOUNT PAID
PAYMENT AMOUNT
!•I
AMOUNT OWING
:!(.: •.:: * •.: c :::� :: '.: t : •. r ' * * s •.: '.: • ::,�.:.,:.:.:: (.: r::l�.: •..y •. f: �;.: * s;.::: K :.....i!:..: ;. s;.: +:: �. a:: (.: j. ;:: +.. : +:.i(.:+r...71.. +r :'!i
...+. U. !•. N. !+. }•. 1+. ,+. �+. !+. !+. P. P. P. ,+. !!. R: 3+r iui 'P... 1... J. 3!. 17, !. 1... !t .t THANK you i..i -Pr 'i-... !`. !t .. d... J-.....:... N. 1... !. 3. d. !...:+. 3.. 3. .
Project
Address•
Dept:
Dept. of Bldgs.
SPECIAL CONDITION CHECKLIST
Project #
Date: Condition:
Engineer's
Use•
Special Insp. Final Report
Hydrant ( )
Lock Box
R!D/CRP
Easements_
Road Plans/Improvements
Bonds
Planning ' 1 Bonds
Utilities
Other
Double Plumbing
ULID
!nit: Appr:
(in) I (out)
******************************* THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OFOCCUPANCY ONLY ******************************
Date received for C/O processing: Plans pulled for final processing•
Temporary CIO issued Certificate of Occupancy issued -
Office file review by• Date
Filed insp finaled by Date: _
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans:
Plans returned'
No response from owner/contractor - plans destroyed: _
Received by: _
Date: __