1991, 02-20 Permit: 91000499 Remodeli
SPOKANE COUNTY DEPA9TMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON,992F0
(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 orcancel the provisions ofanys or local lawregulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
o.
SIGNATURE OF APPLICATION4-ab
/OWNER OR AGENT DATE
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Project
Address:
Dept:
Dept. of Bidgs.
Engineer's
Utilities
Date:
r
SPECIAL CONDITION CHECKLIST
Project #---------__—_-
Condition:
— Special insp. Final Report_.------------------------_.___--
__ Hydrant ( )-----------._----------
__ Lock Box
------------
- RiD/CRP
Easements
Road Plans/improvements
Bonds_ ---------
snit:
(in)
Appr.
(out)
THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OFOCCUPANCY ONLY
Date received for C/O processing: Pians pulled for final processing:
Temporary CIO Certificate of Occupancy issued: ----_--_------------__-_
Office file review by: ______.----------. _. ___ Date:
Filed insp finaled by:
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: