Indiana E 12822 Addition to Mfg Bldg - Torque-A-Matic
SPoKANE CouN-rY ~EPARrMENr OF e~~LDrNG ANa~ SA~ETY
* '"o W. 1303 BR+L?ADVVAY A►VEMUE
SP"OKA1VE, WA$HINGTflN $9280
(509) 456-3875
i+cortlfy that I have examined this permit and atate #hat #he iniarmatiian contained in it and submittad by me or my agent to compile ssJd perml# Is true and oorrect. In
addit6on, I hsve read artd underatand the INSPECTION REQUIREk+IENTSMdTICEproulaions lncluded hereinartid agree tocomplywlth€ame. A!l provislanip of lawa.
and nrdinanc$sgpvernlrrg thia type oi work wlll be complleci wltn whether speclflfrc! herein or not. I understand that tha i$auanGo of Chls perrnititnd anysuke"uont
inepection approvafa or Certificates oi Qcoupancar ahau not he c4nstrued to giwe authvrlty ea vlolate or cencel the pra+rlsivr+s of eny state or rocel laav ropulating
canstructipn, or as a warranty o# coniofmance with the prawlsions csf any state or lacekl laws reqUlatlnfl canatructian.
SIGNAfiUFtE OF AFPLICAT1ON
OWNEA C?R AGENT F1ATE .
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SPUKA,NE CO'LJNTY UEPARTMtN'T UF.:;UiLDING
W. 1303 BROADwAY AVENUE
SROKAIVE, WASMIN(ITON 9$260
(50$) 45O-3676
Icedi#y that I hsve examinad thPs permit and state that the infvrmation cnntalned in It anti subrrrit#ed by raeor myagant#ocornp3lesald permkt4strue end octrsct.In
nddition, I harre road end understand the INSPfCTIpN REQUIREMENTSINOTICE prnvialnna Includ+9d riereln and agreetocvrnplywith serne. All provislonsvf Itvre ~
and ordinancea gorrernin thia #ype af war9c wlll b$ cnmplied wlth whather spec3fieai herein or not. l underatand thet the Isausnaa of#hle permit and any wbaequent
Inapection appravala or rtlflr.ates vf Occupnncy shall na# be cons#ruad ta ql+ve autharl#y tv wlolats or cancel the provfslana o# any stiLts or IoCaI lavr regulatlnq
canatructlon, or as a warranty of confvrmance with the Rrcnrlsicans vf any atate or #ocaf lawa regulsting conatructbvn.
SIGNATIJRE OF fw!RPLfCATIOhI ~
OWFJER L}A AGENT _ l1pATE.
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SPok
ane -C~- ~
Olin
DEPAU.MENT .
OF-junt n~~#_
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SPOKANE COUNTY DEPARTMENT OF BUILDIN AND SAFETY
W. 1303 BROADWAY AYENUE
SPOKANEt WA8HINGTON 99260
(509) 458-3675
1 csrtify thot I havs examined thls pemnlt and state that the Informatlon containsd in It and submittsd by ma or my agsnt to complls ufd permit le trus and oorrect. In
additlon, I hwe read and unde►'itand the INSPECTION REQUIREMENT3/NOTICE provisloM InCludsd herein and a9ree to comptywith same. All provisions of Isws
end oMlnances go+rominp thli type of work wlll be oomplied wfth whothsr epsclfisd herNn or not. i understand that the Issusncs ot thls permit and any aubssQ uent
inspectton approvals or CeRificatas of Occupancy shall not be construed to qlve authority to violate or cancel the provlslons of any atats or local law roflulating
constructlon, or as a warranry of contormance with the provlslons of any atate or local laws reflulatinp conriruction.
SIC3NATURE OF APPLICATION
OWNER OR AQENT nATF
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En.qµineer/Surveyot's Name
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Te1eQhone #
Date Submitted Descriyption Initials
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