1991, 04-25 Permit: 91002071 SewerSPOKANE 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 )19e provisions ofln)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
APPLI
OWNER OR AGENT f / �'C.+�/ DATECATIO'7 d�
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Project
Address: ___
Dept:
Dept. of Bldgs.
Engineer's _.__
Planning
Utilities
Other___
SPECIAL CONDITION CHECKLIST
_ Project # Use:
Date: Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
Init:
(in)
Appr:
(out)
"".`"""'"""""4**«"'""THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY"'"****** ""`"""""'"'"'
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O 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: _____
Plans returned: __________________
Certificate of Occupancy issued: __
No response from owner/contractor - plans destroyed: _
___ Date:
Received by: __