1991, 02-28 Permit: 91000808 Sewer SPOKANE COUNT )ARTMENT OF BUILDINGS
W. 130 1DWAY AVENUE
SPOKANt, 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 g4/
OWNER OR AGENT" DATE
SPECIAL CONDITION CHECKLIST
Project •
Address: ____.____.. Project
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_
--- — U L I D ---
----- ----- --- — ---
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 of Occupancy issued:____ _________ ___.______________________ ___________
Office file review by: Date:
Filed insp finaled by: ____._. Date:__________.___ ________
Ninety days after 0/0 issuance:
Owner/contractor called regarding the return of plans: _____ _._—.___ Date:
Plans returned: .-__—_-_____. _______..-_-- — Received by:.. -_-____-----__-_-_ -.___________
No response from owner/contractor-plans destroyed .__--___—__—____ _____