1989, 10-24 Permit App 89004268 Sewerf '
SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by moor my agent to compile said permit is true and correct. In
rovisions
endlo+ dinances goveen ng this rtype ofhwo kSwilllCTION l be complied with lith whether specified EMEpherein or not I included derstand that She issuance reeto lof this permitt ay with same. lndrany subsequent
inspection approvals ni 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 s warranty of conformance with the provisions of any state or local laws regulating construction.
APPLICATION
SIGNATURE OF DATE
OWNER OR AGENT
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JOB ADDRESS
SUBDIVISION: LOT BLOCK:
OWNER: PHONE:
ADDRESS:
CONTRACTOR:
PHONE:
y
ADDRESS:
LICENSE #:
INSPECTION DATE:
TYPE OF OCCUPANCY:.Q