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2002, 08-05 Permit App: 02006654 ReroofProject Number 02006654 Inv 1 Application Date 8/5/20112 Page 1 of 2 THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Project Information: Permit Use: RE -ROOF Setbacks. Front Site Information: Plat Key: 001625 Name: MICHIELLI PARK District: F Contact: N. PERRENOUD ROOFING Address 219 S HOGAN C - S - Z. SPOKANE, WA 99202 Leff Right. Rear: Phone (509) 994-6795 Group Name' Project Name. Parcel Number: 45181.11525 Block. Lot SiteAddress. 14117 N LAURA RD SPOKANE, WA USA 110000 Location" SPO Zoning: UR -3.5 Water District Urban Residential 3.5 Arca: 11,5311 Sy Ft Width: 0 Nbr of Bldgs: Il Nbr of Dwellings: 0 Review Information: Owner: Name: LANG DON, R F Address: 1407 N LAURA RD SPOKANE, WA 99212-2524 Hold: ā‘ Depth: 0 Right Of Way (ft): 0 Review Special Reviews Permits: Released By - /_ ti uf» 11 HOLD FOR CONTRACTOR LICENSE VERIFICATION Operator. DMD Printed By. DMD Print Date: 8/5/2002 Project Number 02006654 Inv: I Application THIS IS NOT A PERMIT be assessed for commencing work without a permit Date. 8/5/2002 Page 2 of 2 Contractor: UNKNOWN Address. UNKNOWN UNKNOWN, WA UNKNOWN Const Catcgo Nbr Of Dwellings Bldg W x Dā€¢ Req Parking x Description Grp RESIDENCE R-3 Building Permit Firm: UNKNOWN Ph. ne: (000) 000-0000 Building -Ch tastics Group Type: Occupant Load: Building Height. Stories: Building Sq Ft: Sprinklers: ā‘ Handicap Parking: Critical Materials: This Application: Total Project: Notes SU Ft Valuation Sq Ft Valuation RE -ROOF 0 $2.900.00 0 $2,900.00 Type VN Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Notes: Payment Sunnnarv: Permit Type Building Permit Totals: 0 Units Unit Desc $2,900.00 0 $2,900.00 Fee Amount $75.50 $4.50 51661 Y OR BLANK Y OR BLANK Y OR BLANK Permit Total Fees: 596 61 Fee Amount Invoice Amount $96.61 596.61 $96.61 $96.61 Amount Paid $0.00 Amount Owing $96.61 $000 $96.61 Disclaimer: Submittal of this application certifies the owner (or person(%) authorized by the owner) has both examined and finds the information contained within to he true and correct, and agrees that all provisions of laws and/or regulations governing this type of work will be complied with. Subsequent issuance of a permit shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of the code or of any other state or local laws or ordinances. Signature: Operator DMD Printed By DMD Print Date 8/5/201)2