1991, 04-03 Permit: 91001563 Sewer SPOKANE COU TMENT OF BUILDINGS
W. 1 •DWAY 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
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTIL.
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 APPLIc ( q -�/�
OWNER OR AOGENT 1.14., l I\ - 1441-0A1 DATE CATION /
SPECIAL CONDITION CHECKLIST
Project -
Address: __ _ Project# Use: -
Dept: Date: Condition: Int Appr:
(in) (out)
Dept.of Bldgs.
_____ __ _ __— — Special Insp.Final Report — ---- — — ___
___ -- — — Hydrant( ) -- -- -- -------
-- _--_ _ .__ Lock Box --- — ------- — - -
Engineer's__ — _ RID/CRP — -- --
._________ ___ Easements
_ ___ — — Road Plans/Improvements_s — — — -
_____ Bonds --
Planning —_ s Bonds_ -- —
Utilities ___ Double Plumbing —
A ULID — --- -- ---
Other __ __— - - — — ---
_____ ___________--
..,..., ****"`****** .•.THISSPACEFORCOMMERCIALPLANSTRACKING,CERTIFICATEOFOCCUPANCYONLY""'"'"""""""""".""*"
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: