1991, 04-08 Permit: 91001630 ReroofSPOKANE COUNTY DEPARTM' NTOF BUILDINGS
W,4303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state thattheinformation contained in it and submitted by me or my agent to compilesaid permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, 1 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
PROJECT NUMBER:- 91 i,;:,`J,'ll':
ISt=t..ET) -PF RM:i I ''rr•".''T'i_:. x:4/08/tri
-***P#T*E*R*t**j:K*E#**M PERMIT IN F ^ C j%T Iy
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SITE STREET- F ;-' : 1 :F='T I" ;;F; ,:.;;:,;-•fit Y.� 77542-7W;
ADDRESS '_ P1. l ANt:• WA 992i6
PERMITi..' E . .. : J i
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OWNER= : C-i_,..:.i � J . t .s
STREET= 1,29.14 F GUTHRIE DR
ADDRESS= S r`:. S '(7i{f"1Ni.. WA 99216
J j C.::v NAME= D hN CHAMBERS . EXTERIOR DFSi;U : E••i €N(N iid fF•�= °? : 9 747
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ADDRESS= SPOKANE E WA 99203
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PAYMENT DATE. RECEIPT -Tv
04/00/9i i85'3
_r•:-ct ••c. AMOUNT H!'1+..1,...1~.I PAID ;i',1, OWINi.
PAYMENT l .1i"i sr .. .
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77,58
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NTED Eis( JULIE (i O
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