1991, 11-12 Permit: 91007409 ReroofSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 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
OWNER OR AGENT DATE
.• ............ . NUMBER= 91007409
ISSUED 1-•l::.l'j }'1.t. S DATE= t : ..::. : . . . ..... .
PAC;E- 01
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422 N 1: itiNN3::..'.: RD
SPOKANE WA 99206
RE—ROOF RESIDENCE
002764 t4 NAME=
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SPOKANE WA 99206
PARCEL4= 14543-1654
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F WIDTH= 94 DEPTH= 165 R/W=
PHONE... 509 928 391
CONTACT NAME= INSTALLATION
LDING —TBAC1 • FRONT= NA LEFT= NA
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SEARS
P 0 BOX 3707
SPOKANE k4A. 99220
PHONE
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RIGHT= N( ?'SI::.
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509 489 1170
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TYPE .'r; FT VALUATION
.VN 3924,00
FEE E At"1i„ UN 1
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DESCRIPTION GROUP
RE—ROOF i {,
ITEM DESCRIPTION.
..................................................... ...............................
i F 1.. i 1 .I. fAt {... VALUATION
' SURCHARGE
SURCHARGE
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PRO.
PAYMENT DATE
11/12/91
sO {Ai... DUE=
PERMIT TYPE
BUILDING PERMIT
.
QUANTITY
. ...............................
8570 1
:. i'1t:} t t.1 t AL PAID=
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FEE AMOUNT
............. ...............................
77,58
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rt v -
l. BY • ..lU. 1.E .•I"IA T'_.
AMOUNT PAI.T?
t
............ .... .... .... ........ ...........
t'(,58
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