1991, 03-27 Permit: 91001415 ReroofSPOKANE COUNTY.pEPARTMENT OF BUILDINGS
W: 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675 '
I certify that 1 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. 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, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE
Silt:: STREET= ,-114 S--MAMER RD p 7544-1109
PERMIT. USE= ;'t
--RESIDENCE
Ni'E
% PLATv'= 00E705 -PLAT NAMEMOUNTAIN 1/]EU 4TH ADD
BLOCK= 11- .. _ - LOT-- 9 ON=SF • iIST4I— 1
e<E:o-r=_ _ ,0.. F, Fr= 1` WIDTH= _ 05 DEPTH= ! v ,:
n' lTF BLDG._- 1;;:-Ti!+!I:_LLINGS= 10 WATER DIST --
OWNER= NER== Y%b :., i -IA OLD A - --.
ETRE.:'T'-. 5.i i Al S' -hAMER RD -
ADDPE,> '_..:::.iil ANE: ;WA 99.206
CONTACT NAME..— INSTALLATION
BUILDING ,S'E T'I'Ai;i< F.r`f:f 4T= NA ' LEFT= NA i'tILMT'
-x- *: -
vr;e.ir..)f..iE.1E �ii��ii��ii��ri�ii��iE �ii�d�: �n�i�..x..h..%i.:n:.x.x..d..'v}�Ay:✓. di��ii��li�ii��it� t�tl.)7r1. Y)�I idf, -�I''Iii: F{!'•I .G1
j.:..ONTRACTOR SEAR
ST
I.i(:.L:.I ::: I:. 0 i:j k. 6i01 !'
ADDRESS= '.SPOKANE. Wra 99220
REMODEL= Y-
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THANDICAP==' .
'F=H iONEI.=: ` 09 924
i
NEW=-
Dicli:::i._i.., UNITS=
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REP, PAF (..T.NC:
DE.SCR1:PTT
RE R O y F
GROUP - TYPE
R _. • .VN
:i:TEM PE RIPTION
i{t 1::Fji=.i'1 i'TAI.. VALUATION
:TATE SURCHARGE
NUMBER= _09 489 .1 .1 .., 0I
-REfiR-- ?(A
if Pi ** di hi Sri * * d:i 9f..Yi hi.N'- ii..ii- * - ri- ii :,i di ll
09 489 1 1 I 0 , `
CFIr; C;F' OFF USE,,
STORIES=
HG
L E R = N
I.i'AL MAT= N
SI}
FT - = VALUATION
3015. 00
QUANTITY _ FEE AMOUNT
63,00
Y 'f.'50
__
i4A4�iE di�di��)f�:,f��)f�dp.�f��li�if��ifii��re �ri��n..,6;{. {�r.)c..,,. *.)t ,e4it )i du de `F iE:[.".I .. .1 t'1Ft -'x.
_, p0YI li: N ! --.DA I I . -— RECE:I'P I ii:
1 - :1502
v,.,E . TOTAL ,;
PERMIT I T F't ' i 1-.1':. ,AMOUNT --- AMOUNT PAID ' Ar•1OUN i OWING
BUILDING:PERMIT 67,50 67:.50 .. 1 -MO .
67.50 .00
r dr di Ti ii ie Li.h •) **M ii.hif ii iF) ii Bf—if**
YPJd:::NT AMOUNT
67,50
PROCESSED BY: _ILIt...T.i= "HI"i 110
PRINTED BY: ._iiJL_I :3 F'1 f -7!T0
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