1991, 04-22 Permit: 91001985 ReroofSPOKANE, COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE •
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in a 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. 1 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
PROJECT—NUMBER... 91001985-
,
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SITE STREET=
. ADDRESS=
PERMIT USE::
,BLOCK=
• AREA=
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OWNER=
STREET...
ADDRESS=
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PER S:I:T :I: Ni
.12g2k. i= G(.ITHR:LE DR
SPOKANE WA 99216 -
RE -..ROOF RESIDENCE
PLAT NAME=
LOT=
I:: / A:
4 -DWELLINGS=
BEAN SR, WILLIAM 1)
12820 E GUTHRIE DR
SPOKANE WA 99216
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MIT DATE'=- '.:i
NATION 40:ii,i Di******
91 PAGE= c)1
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PARCEa:41:::::r 27542-7803
HIL..L_t_RFST AC:RE.S•2NT) ADD
;.ONE::::: iUFi....3.5 5'i,:FS -__
F' WIDTH== 100:- DEiPT116=
1 WATER DIST
PHONE==:
CONTACT NAME= DAN CHAMBERS
BUILDING -SETBACKS:' FRONT=..NA LEFT= NA
.....
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CONTRACTOR== EXTERIOEr-,ESI(.;N
• :STREET..1816 MAPLE BLV
ADDRESS= SPOKANE WA 99203
-REMODEL= X
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: HANDICAP=
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REQ. PARKING=
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DESCRIPTION GROUP
REMODEL.. -
ITEM DE:CRTPTI.(3N,
RESIDENTIAL' '•"1L:.Ur=iT:EON .
STATE SURCHARGE
COUNTY SURCHARGE -
.
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R/1=..
924.6089'.
PHONE: NUMBER= 509 747 7335
.RIGHT= NA REAR= NA _ .-
PERMIT :*******.r*.*ii**ii**v:ri)i**li)e**•**)i*
PHC NE :50 i 747 733'
ADD is T I tar.1- 'CHANGE OF I ISE=::
BLDG 1-li':T - . STORIES....
-SPRINKLER= Iv - -
CRITTCA1.. MAT=:- N
TYPE - SQ FT
VN
PAYMENT DATE-
.
,
04/22;91
QUANTITY,
Y-
** PAYMENT SIU
RE-.cI:: IPT O
2221
TOTAL_
PERMIT TYPE -FEE AiIC)UNT
F:IUIL..:OI:NGI PE:RM:I:T: - _. . - 129.78
129.7S
PROCESSED BY: WENDEL.,
PRINTED BY: WENDE_L..,
1..(3FPIA
LUURIA ..
FEF AHL_i13N T
00
1(.28
MARY **x -*x**) iii**
PAYMENT AMOUNT
129-78
00 TOTAL PAID= J29,78
AMOUNT PAID AMOUNT OWING
129.78 00 ,
129.78 • .00
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