1991, 02-19 Permit: 91000521 Residence SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY 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 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 provi 'ons of any state or local I. -gulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF /' APPLICATION
OWNER OR AGENT ►� ✓-_'r p!" �� ��� DATE ( / l
PROUFCT NUMBER= 91000!:.:;21 DATE= 02/19/91 PAGE= 01
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ADDRESS= SPOKANE WA 99216
;,;. .:+.. 0037:16 ,:i{ !•:! NAME= i•:' i t:i+ 3+ N F `•J1•.4 iST
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ADDRESS= SPOKANE WA 9920P .
CONTACT' NAME= LANZCE DOUGLASl..i;; N}u. tR ,c, :
BUTADT • SETBACKS : FRONT= 30 10 RIGHT= 30
AR= 34
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PHONE= -509 535 -5944
ITEM ';?,. { s.:; '•{ QUANTITY FE t:
SINKS?r i2 , 00
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BATH TUBS
KITCHEN SINKS •
DISH WASHERS 6 „ ,
GARBAGE DISPOSAL
6,00
ELECTRIC
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W.1303 BROADWAY 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 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
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SPECIAL CONDITION CHECKLIST
Project
Address: ---__-- —__—_-- Project#_.._ __._. Use:_.---------------____--
Dept: Date: Condition: 'nit: 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 OF OCCUPANCY ONLY
Date received for C/O processing: . Plans pulled for final processing:
Temporary C/O issued:--__________ .Certificate 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:_-- ---. __ --____--__