1991, 03-07 Permit: 91000940 SewerSPOKANE COUNTY,r)EPARTMENT OF BUILDINGS
W. 1303 BROADVAY 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 age ntto compile said permit/application is true EQUIREMENTS/NOTICCEE
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION R
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 rovisions any state ocal la egulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION 7— ,
OWNER OR AGENT _ DATE
Project
Address:
Dept:
Dept. of Bldgs.
Engineer's
Planning-
Utilities-
Other-
Date:
lanningUtilitiesOther
Date:
SPECIAL CONDITION CHECKLIST
Project # Usl
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road PlansAmprovements
Bonds
Bonds
Double Plumbing
ULID
I n it:
(in)
Appr:
(out)
THIS SPACFOR 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:
Plans returned:
No response from owner/contractor I plans destroyed:
Date:
Received by: