PINES N 606 VALLEY MEDICAL SUPPLY SIGN ~
y ~ 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 egent 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 REOUIREMENTS/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 speciiied
herein or not. I understanA that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be constr(Jed to
give authority to violate orcancel the provisions o( any state or local law regulating construclion, or as a warranty of coniormance with the provis+ons of any state or :ocal
laws regulating construCtion.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATF
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