1992, 05-15 Permit: 92003449 ReroofSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROIIDWAV AVENUE
SPOKANE, WASHING' ON 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 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction. %� �—ems,
SIGNATURE OF construction.
de,st rC/ - • -/ DATE APPLICATION
OWNER OR AGENT (((J/////
PROJECT NUMBER= 92003449
ISSUED PERMIT DATE= 05/15/92 PAGE= 01
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SITE STREE«_ 12202 (,OON EAVE : j - : E1n_ 16541-0719
ADDRESS= SPOKANE Iii r"} 99206
PERMIT USE= F+;E:. ROOF RESIDENCE
PLATO=
i .T F 8;a;•8 PLAT NAME= (jt''I-' . Tl"4 . 1-354
BLOCK= LOT= :: "ZONE:. {•1Rr•3, Tj1, T.•na._ ..
AREA= F/A= F WIDTH= 93 DEPTH= 137
n. (:F r I Dr- "'a: i :'• DWELLINGS= / E :' ii r'•T ....
OWNF.EF<:::: VAN DOREN, , ROBERT
STREET= 12202 2(Y E:: BOONE AVE::
ADDRESS= SPOKANE WA 99206
CONTACT NAME::: ROBERT BAN DORENPHONE NUMB E • ».. 509 926 0520
BUILDING SETBACKS: FRONT= ONT = NA LEFT= NA RIGHT= NA R.EAR::. jVti
PHONE= 509 926 0520
.............. ,. .. ... ...... s:• ::: *
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CONTRACTOR= OWNER PHONE=
DWELL UNITS=
BL..DC; E4 X 1) ....
REQ PARKING=
REMODEL= 'X
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:}:HAND:Ei_-AP=
ADDITION= CHANGE OF USF::::
Lt.,. HG,...: STORIES=
SPRINKLER= N
CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
R....3 VN 700.00
RE ROOF
ITEM DESCRIPTION QUANTITY FE:lam. AMOUNT
•
1:Dl:"NT1:AL VALUATION 'Y 35.00
,1HTE SURCHARGE Y 4.50
COUNTY i T Rt.:HARG!:. Y 6.30
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SUMMARY
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PAYMENT
DATE
..,E •_•E:r :• :i PAYMENT AMOUNT
05/15/92 3653 45.80
TOTAL t AL. DUE:::: ..00 TOTAL iAi#... PA.I.D:::: 45.80
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 45,80 45.. _3 i . 00
45.80 45.80 :.00
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