1991, 03-21 Permit: 91001125 ResidenceSPOKANE 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 th 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 a 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 a-� //•� �
OWNER OR AGENT ��
DATE APPLICATION ',
PERMIT USE- RESIDENCE W/GARAGE
004499
PARCEL4,- 2554-9059
00000000 /A-
i DWELL
PHONE- 208 664 0470
....PHONE NUMWER= 20 664 0470
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PHONE- 20 664 0470
DESLRIPIIUN
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VN
INCE
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PHONE-
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FEE AMOUNT
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
Init:
(in)
Appr:
(out)
***************** ************** THIS SPACE FOR COMMERCIAL PLANS TRACKING, 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 insp finaled by: Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date-
Plans
atePlans returned• Received by:
No response from owner/contractor - plans destroyed:
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 perm it/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 t pe e of wocores k iillO pancy ec ompl ed with
not whether spewed to
cified
herein or not. 1 understand that the issuance of this permit/application and any subsequent inspection app
rovalsgive 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- 1 , , L ....i. . ... .. ....
TOTAL DUE-
FRMIT TYPE
RECEIPTO PAYMENT AMOUNT
t
FEE AMOUNT
1 ..
AMOUNT PAID AMOUNT OWING
THANK i i i i i :{i.:i(.::,:*:{j.:, .:,;.:, '.:,(.:,;.:,{:: i.:{�.:i;. !;.:{;.:yi.:,;.:,i.:: ::{: .,i.*.:
SPECIAL CONDITION CHECKLIST
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Date: Condition:
Project # Use•
Special Insp. Final Report
Hydrant ( )
Lock Box
R!D/CRP
Easements
Road Plans/Improvements
Bonds
Planning j I I Bonds
Utilities Double Plumbing
ULID
Other
!nit: Appr:
(in) (out)
`****************"***** ******** THIS SPACE FOR COMMERCIAL PLANS TRACKING, 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 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.