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1991, 07-15 Permit: 91004196 ResideSPOKANE - NTY QEPARTMENT OF BUILDINGS 303 BROADWAY AVENUE OKANE, WASHINGTON 99260 (509) 456-3675 I certify that I have examined this permit/application, state that tta 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 OFI�� APPLICATION / 5 ) 1 OWNER OR AGENT l oAA DATE HRUjECi NUMBER= 91004196 ........ .. .. .. .. ....k*:),: ..... *k:-.:::;.:•.::.:-.:•.::.::.::. J.1.1?........1.1.1.....:. .. .. :. .. 1. .. .. :. .. .. .. .. .. .. .. :+•:.y: i'::++::�,..,,. y,. .Jt -P: 9`: �A• •1?- JC 9t :4- •J+: Jt 1? R P. 1�. 1i J�. A !t 1, 1: 1�. t-' !::. !'C !"! .!. ! .!. 1'V i.. !..� !'. !"! 1•�f ! .!. i. � !`:. :: I i #::. '. I :.. :.. ... :.... 'rs(} 1 N UN]:tiE",-..:!• RD !•',r'•?i'•'.i.`E.,...:,::: 1 .;"::. - •'i ..-i <. .... !•'s ;.1 i'�s::.:*.�::. -- -`.•!-'O`•-.!riN F WA PERMIT 1..!Ef,':.'- !".t::.!..!.!.J1.'. !'•.l::.: I..%E1''di 1-'i...1•�1 ! -t!..... 001835 PLAT NA!"!!::.:::: 1,.!r: i 1•? '1 ::.} ,.. BLOCK= LOT= ONE= UR 3,5 DIET4= OF ,.. ! D i.:/ ,`.':' ::- ! ;,. D fix! r:. ! ! .!. N G..' .... ; iA; fA? ! ._... DIET... EE, RUTH N {.. { N I 'fir i::. I' KANE WA NAME= WIEE F.. N i"t±'.`'1 E!'::°' INC, --JBACKE: FRONT= NA LEFT= NA PHONE NUMBER= 509 92c) 20°7 RIGHT= NA REAR= NA ******§*********),-..:************* ':: { { i { -+ 1 !'N : -, 7 ' r:' r.;• N .{. r •x •Pi i•4 • * •i• ...!1.....i ...... it.r ......... •Pi .... i•tr i•r i!i .... -j. . .? � 1 .......... ..: ........ PERNTT _. 'N M E `.f: EPOKANE WA DEECRIFT ION GROUP RE EIDE ITEM DLECRIP i TUN .................................................................................... PHONE= 509 926 0297 VALUATION QUANTITY FEE AMOUNT ,00 :,i.:;(.: ;.: ;.: ,::,;..y(..y.};:: (.: (.:tt. �(.::: !.: !:: (.:,(.: t:.};.: : ,:: ;:: (. s;.: ,:: t:: •.: ;. .: ::: -,; ':: ... :,' N .i,, .i(..i•: -1{ •tt: * •j?• -i•: -A:.p:.p.:J!::K :k :tt: j•: 'jt::1•: 'j•:!.:ly.:J;..:J;..;,..,;..j,...;,: •: .... ). 1. 7......? .. .. !. 7...:. !L ). 1. 1... J... 1. i. 1. J. ,. 1. J. !•. 1. t t 1 Y 1 1!...! % { :.} (..! i, 1¢•i l��: •'e PAYMENT DATE 07./15 / 91 TOTAL DUE= PERMIT TYPE .......................................................... BUILDING PERMIT HN LH RECEIPT4 PAYMENT AMOUNT ................................................ r -j r•! 1_! 1._ N ! AMOUNT ! A .#.:, AMOUNT { i.`!.ii,NG 88,02 RR.02 !:i•Ai *jp:(::{ :(t:::No(::(::,(.R:((jTHANK 1 I y l.t;:;:7;:.::11.:;:1:;:{: :t:.} ;:;:. :,+.::.;,:. :t; ;:;. }_:u::,:: SPECIAL CONDITION CHECKLIST Project Address. Dept: Date: Condition: Dept. of Bldgs. Engineer's ___ Project # Special Insp. Final Report Hydrant ( ) Lock Box RID/CRP Easements Road Plans/Improvements Bonds_ Planning Bonds Utilities Double Plumbing �_. ULID Other___._ Init: Appr: (in) (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: ___ Certificate of Occupancy issued: ___________ Date: . Date: Date: Ninety days after C/O issuance: Owner/contractor called regarding the return of plans Plans returned' No response from owner/contractor - plans destroyed Received by: Date: