1991, 09-27 Permit: 91006276 Roof CoverSPOKANE COUNT .DEPARTMENT OF BUILDINGS
W,l. 1301 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 orw-al law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction. p
SIGNATURE OF. APPLICATION �' Z T-
OWNER OR AGENT DATE
PROJECT �lBR= 0006276 _,i ED PERMIT DATE= 09/27/9i PAGE= Oi
. i } !. 3k h• 3r is ik it• it iE )4 ii :�t• ••}i• ri• ii• ii• i�: N- �• �• it
PERMIT INFORMATION ii• 9t yt )t �t iL• )t• •!t 9L• it• 9t• 9{• 9L• 1l• iF :�t• )t• It• tl fl Jr P• 9t• !L n• }e. !?. !t•
—SITE STREET= i8521 E DALTON AVE Pr•.iRCEL..'O»: 0 ,554.... •i G.i
ADDRESS= SPOKANE WA 9906
PERMIT USE= i`tCiB):LE:: HOME:. RO(_1E' COVER
F=i..AT:;:= 0()0646 PLAT NidiE= DONWOOD E=AST
is{I._CiCK= 9 LOT= i6 ZONE::_ i,•iEt....-r DI T•';: - C;
AREA= 0000000 0 (` jr.':t= i:: WIDTH= DEPTH= E7` W:::
:,,• OF ! C:s L.. t i Cr S = •i '!,• DWELLINGS= i WATER DIST =- CONSOLIDATED T Es' R C:
OWNER=
Nl' R SHE:: i• Gai::JOD, JOHN H PHONE= "?: 9 926 i i 3'..
STREET= i 852i E: DALTON AVIE
ADDRESS= SPi:)iCANE- WA 9906
6
CONTACT NAME:::::: JOHN ,.. t iEi' tai i.. (:. D PHONE NE.:: (I i! iI: E:.i' 509 926 ii82
BUILDING SETBACKS: FRONT= :::: :... LEFT= t .} RIGHT= 35 i':.l-.iaR:::: 52
.. ...... .. !: h: •i�: •}�: �n: •i� 1[• h: h: �i •}i• ii •ii• •ii }i• ii• ri• i+: ii• :i• •}i li• iii •ii •N: •a: •!�: •x• •ni •i�: •}i
BUILDING P"iL• �.• j i •}?• it• R .� $C 3t iG• •ii• $i $h •Ri •Pi 3t' •Ai •R: •Ai 'Fr •Pi 'Pr •Ai •Pi '!L •1C •lk il• .
CONTRACTOR= z3W`rdER PHONE::::
.. == :..
NEW= ;� i'+'. i::. t"t ..+ 1 ::. L.. ADDITION= } +... } �... i . =�� ..: 9 P•i !`% l.r ::. OF ..! ,.. .:.::::
E'WEi..L UNITS= i ....._t. P.: LD:::: ir'ti...i.!!.Y HGT= 12 :"1"Ol"4:C1.,;,::::
REQ PARKING:::: Ol'i(iiv.1.:>:Ei"iyP= CRITICAL MAT::: N
DESCRIPTION GROUP TYPE SIR FT VALUATION
-----------
ROOF COVER Eti--3 VN 1200 840::1,00
ITEM Di`SCR.Ei'tIi.ii3 QUANTITY FEE AMOUNT*
-------------------------
RE SIDE NT IAL VALUATION Y .i ox,,00)
STATE SURCHARGE. Y 4.5(-)
COUNTY SURCHARGE Y i 7.28'.
!t• �: f4• 'it• •P: }{' •1 K K .1 R 1t 34 A $: •!i• •A.• •b: 11 9l• ii 3�: •ii• •ii• •ii• 3i •k• Rl• •H• •/{ •i[•
PAYMENT SUMMARY
.. .............. .. ....... .
'}L• i�: •R• it• �.• il• �: 9l• 71 •R N: i{• 4l• N: •R 91.1: 9C il• 94• •!{• •1C 7{• •it •R P: •M• 3C
PAYMENT DATE, ,_,E -_A PAYMENT ALi+: UIN'i
09/27/91 7005 i29.7F-.3
TOTAL r=iL DUE -.::: .00 TOTAL PAID= i29.03
PERMIT TYPE FEE AMOUNT AMOUNT PAID r'iMC1t.iNf OWING
--------------- — .... — _.. _. — _. — _.................. — ------------ .. _... _BUIL.ji:i:NC- PE:::RM:i:T 129.78 i29.78 .00
PROCESSED BY: ,.si.)i..IE SHr7iiO
PRINTED BY: JULIE:.: Si"iAT'T'i:)
THANK T { //: :
! i"i YOU I..} 'h: '}Y )C" }l" )t" !l•'P.• A• h 9t it ik b: N: 'F' P..P.. :P.:N: '}� 'li' P: if• 9Y 9k •J?• ik 3i iC it•'A it �: