1987, 10-08 Permit: 87003389 ReroofSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTHB'11 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
nt to
orrect. In
addition, Ihhave areadeand lunderstand the INSPECTION and state aREQUIREMENTS/NOTICE provisions included herenand agree t the information contained in it and submitted by or my eto comply pwith ile ssame.d rAll provisions omit is true and f laws and
ordinances governing of work will be complied with
whether
specified
de viithis
lcrmit and any subsequent inspection
approvals or Certificates of Occupancy shallnt be construed to give authorityto violate or cancel the provisions of any state or regulating construction, or as
warranty of conformance with the provisions of any state or local laws regulating construction.
.-
SIGNATURE �� � �l is �/ DATE APPLICATION /0_
J J
OWNER OR AGENT � 7
PAGE= 01
PHuJEci NUMBER= 8(006389
:9;::!}P!R !: A !sE :: a : } 3 ;; ; t h!t '" ! _INFORMATION :::j:j: 1:
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3
^ `' - ` •... +.... � !:$ a i... PARCE... .
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SPOKAN
RE-ROOF
I:1::2::. ,:r .i..i.? i::. i`•1 i..: 1::.
SITE STREET=
PERMIT USE=
BLOCK=
AREA=
0 OF ... .... xr is ., ....
000985
LOT= ZONE=
00000000 i.. : A= S:" WIDTH=
DWELLINGS= I
OWNER= GRODT, DOUG
STREET= 10822 E MALLON AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= CHRIS
BUILDING SETBACKS: FHuN1=
LEFT=
,ST
SFR
ADD
PHONE=
PHONE NUMBER= 509 667 0736
RIGHT= 1" -.EAR=
Y:}S! •'i•'! ...........jl..fi..i:')lfli.:.:....... 1. .. .. .. .. .. .. 3. ., 1. :. .t .. ..
******************§********:**** ... ..! .1. ?... -.. �. i'•; i_•r i' ..... =. i'i
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CONTRACTOR= MCINTOSH ROOFING INC PHONE=
STREET= 1L -tet, ciaPc-cu.xly
ADDRESS= COEUR ALENE ID U6H11
....
DWELL UNITS=REQ PARKING=
DESCRIPTION
iti1::.(`tf :c:i::.i...:::: ..
SQ FT=
TYPE
S
ji f:. 1
BLDG HGT=
ITEM i .1...:.:t.:1-:Ii"'?.i.OI'd QUANTITY
RESIDENTIAL VALuAlIuN
STATE SURCHARGE
208 664 1859
64;7-07 3c
CHANGE USE=
SEWER= N HYDRANT= N
VALUATION
....................................
1926,00
1: -EE AMOUN.1
45,00
3,50
..................................... ......... * `::: A -.: i i•::i t•:! i::: i•i ********:***********4******
• ! i ! it [ 11 { ii ! !{ ! ! t f Si i f ! '. F':i `"' e'�1 ,,, !,,, ,
!; ;t;..; ;�• :ts; ti,- !!: •Jt• It :: 3: •1::. '. r :!,. ..: • !: •.: a'.: •1: •J::!: '.:::: '. Y •J::t :, 1'. t ,••; .: i... `.� : .. ,
PAYMENT DATE
TOTAL .-1i II..=
PERMIT TYPE
BUILDING PERMIT
FEE AMOUNT
............................................
48,50
............................................
48,50
48,50
PAYMENT AMOUNT
48,50
............................................
48,50
AMOUNT OWING
................................................
00
l'HUULED i!Y: FURRY, JEFF
PRINTED BY: FURRY, jEF;--
iijjy:p; 1, p ::.i?.• s.i.: ;.p. ;.!.: r .n:::1t„ : k ,i }.• THANK i ,
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