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1993, 07-15 Temp C of O: 93-5824 Sa,..ovQ-�•,,,o P • 1 TEMPORARY CERTIFICATE OF OCCUPANCY fl 111 f `) zl ° TL � C REQUEST FORM �� (. I am requesting a temporary certificate of occupancy be issued for the following project: Project number: , ' - , i-/ Site address: P. — 6 a• , �=- -_ - �� � � r <3� Owner/occupant: 0--�.� - - Use/description of project: ` k' 9---. Reason for request: 1 -\A-fes, #2,, c �-% - _- U•s0-'-q--t CAVI -/`/C iii—e `-`-� c i "A--z-e-,---- q - e/- ? 3 Expiration date: - 44ii►'�o On or before the above-mentioned expiration date, the following items will be completed: - cr I am aware that at the time of expiration of this temporary certificate, of occupancy, should �-- any one or more of the above items not be completed. an additional charge of 10% of the building permit fee (but in no case less than the minimum 1- of x$35.00) will be assessed to renew or extend this temporary certificate and shall be pais ,f elthe Spokane County Department off Building and Safety error to the issuance of an su .- ;. rate. -�1 Sz I am also aware that failure to comp t with 6 .;,.• --mentioned conditions of this temporary certifi- cate•of occupancy may result in revocati. •' e certificate and as a consequence, I could be subj-r a • • - penalty provisions contained in Title 3 of the Spokane County Code. 4( Date: 7—/S-71-3 By: A Own:r/Authorized Dent /v Approved by: t _ / Date: 7- !S - f3 Building Inspector ( Project file conditions reviewed by: Date: forml7d 041390