1991, 11-19 Permit: 91008012 Reroof•
SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
v, `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 l 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.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER91008012 ISSUED PERMIT
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DATE= 11/19/91 PAGE= 01
PERMIT INFORMATION **1rk,A.*..*..A.
** p.u..A..A..A.:,E .3..3..4..3..* **4*4*ii
SITE STREET= 11613 E FREDERICK AVE PARCELO= 09541--0122
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE --ROOF
PLAT0= 001641 PLAT NAME== MIRABE:AU RANCH ADD
BLOCK... 1 LOT= 21 ZONE=: UNI< DTST4= F
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W==
x: OF IiI._DG,S-: 0: DWELLINGS= 1 WATER DIST =
OWNER= FERGEF; JOE PHONE== 509 926 7532
STREET= 11613 E° FREDERICK AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DUNN & HEINZ CO. PHONE NUMBER= 509 535 2131
BUIi...DIING. SETBACKS: 'FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*4 4441.4 44.1;4.4.1* 3..A..x..A. at.11.44. *..*. if * * * 1i * * * 3..A..A..A..A..tt. ** BUILDING PEERMI.I A..A..A• •A•.A {1. ....A..A......A. A :ll..k .k.....A..h..A...A..A..R.3* 3* 444.4.
CONTRACTOR= DUNN & HEINZ CO
STREET= 3303 E 9TH AVE
ADDRESS= SPOKANE WA 99202
PHONE= 509 535 2131
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP, L.D= BLDG HGT= STORIES=
I:+LDG W X I) = X SQ FT= SPRINKLER= N
REQ PARKING:': .HANDICAP== CRITICAL MAT= N
DESCRIPTION GROUP TYPE:: SQ FT VALUATION
RE_ -ROOF R--3 VN 1450.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
----------
RESIDENTIAL VALUATION Y 35,00
STATE SURCHARGE Y 4,50
COUNTY SURCHARGE Y 5,60
11.11.:!til..'49.1t11.'4.4.•*..4..4.11.1('.4..4..4..*.4.***1l•4.333***3*')
PAYMENT SUMMARY**
11..43.*.*33..4..A..4.4.4* * * *
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
11/19/91 8835 45,10
TOTAL DUE= ,00 TOTAL PAID= 45.10
PERMIT TYPE:: FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 45.10 45.10 ,00
45.10 45,10 .00
PROCESSED BY: DOMITROVICH, ROBIN
PRINTED BY: DOMITROVICH, ROBIN
.4..4#1i..*..4.'*.1{.4.1i..4..4..4.'4..4..4..4..4..4.'4..I:ii.'4.'4.it"4'4..4..4.*..4..4. THANK YOU 11.:H'.*14.*.1Y.4.*..4.4..4.*411 jF j{.A.'*1("4.HA11'.4..4..4.4.R.R.'4.'4..4'*.