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1991, 03-04 Permit: 91000861 Range, Piping 4111., nra ,, SPOKANE COUNTY DEPARTMENT OF BUILDINGS W. 1303 BROADWAY AVENUE SPOV_..^^.NE,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 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 APPLICATION OWNER OR AGENT DATE �'. . ,.,5. ...; ..:. :: ?. .. ...... .' .' ': .5: }•i. ...}t,{ i{ }• ON '15..5. *44.:J.1!•P:'tt•.l5 A.?.P:a P..[g..R 3L?t.?F?:? ...... .. ?<. i.:,I.},..},•.a5,.:?5..55; :;:$}s:i+?'7,i 7..}t.4t.•i+t,•Pi•H.i}?..j(..:,..};.rsr i's,• 5i VALLEY HEATTNI.. PHONE 924 0018 L55f f}....}... N ...... f )... 5...)'.....�55 5 5 }. : .'. ..'! 1 i ,' }... ,. .. !tF 55 t j5 )l>}.��'.:G ws r..f,i ��?..!i}It:•.!...j[... 5..t-:}..i. PAYMENT 5:?..'.:.. i !' A 'i 5 1 is F. . ..i.I''F ... -).!:43:- :.(..':•i'.i5:,.:..,-: ;. :........ ,..5: s: �s .::5 `< . . ..•.5.,. ..:,.....i lk:k.. .. .. . _ .. _ •. SPECIAL CONDITION CHECKLIST Project • Address: ____�— _._ Project# ___-__ ---_____-____Use=-_-- __-- Dept: Date: Condition: Init: Appr: (in) (out) Dept.of Bldgs. — — Special Insp.Final Report Hydrant( ) Lock Box Engineer's _ _ RID/CRP Easements —_-- — Road Plans/Improvements Bonds Planning — Bonds Utilities — Double Plumbing__ ULID --- Other — — — -- --- — — — — — -- ***'***************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY 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:_—