1991, 10-02 Permit: 91006460 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 d 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, 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 iNUMBER= 91 006460
#ic3 ****3e ii k3i 3i 3eri3e ii ie E -*3f 3e 3e 3eii#*-)e* PERMIT INFORMATION iEiEdi.ip.h.M.:>r.ii'
SITE ETRE E.T== ; ;? _ S MCDONAI„ D RD
ADDRI"S:'== SPOKANE WA 99216
PERMIT i.l>'E:.= RE --ROOF RESIDENCE
:7.1.Z :ooi;? j 3 PLAT NAME-:_ HILL
DI LOT=
OF BLDGS DWELLINGS=
PERMIT
_. .. i0/02/91
.vv... '. _1 1-'r:.::.. 11.1 DATE=
I.iwr is
STREET
i'
A1)DPE5
HENDERSON, DWIGHT t,'{
S _MCDONAII...I) RI)
3K ANE WA 99216
77544-2204
VTEW i=STATES
90 DEPTH=
WATER DIST =:
CONTACT NAME= INSTAL_L.AT1ON PHitNE NUMBLR= `09 409 .I170
BUILDING SETBACKS: FRONT= NA i...i:-1' '
,... fl:; RIGHT= . NA 1'[:Ai''== NA
463k 4r. *3r * it h—p.3i3kh:*:P3p;{v;*b;**§; AKA0'h'iu 3ti 9i. µ' BUILDING v' ti
CONTRACTOR=
' fRE:E r=.
ADDRESS=
NEW=
DWE:L.L. UNITS=
BLDG I.1 X. Ii =.
REQ IARVING=
EARS
0 BOY 3707
POKANE WA 992210
REMODEL=
0C%'I, IP , ID=
SO FT=
C HAN:1):i.Crli'
DESCRIPTION GROUP TYPE
RE =ROOF VN
ITEM DESCRIPTION
i-''_I:I)EN' :Lr;L.. VALUATIONSIACE. ;_URCSURCHARGECOUNTY SUR CHARGE
'lf:ll'#:ir: 'i{: 34'#'ir}3f'Vial":e**?:A')1P:X')f3r:4ii ::j,)3 ):P)b)'A)) a PAYMENT SUMMARY 3ri'$:ll'a*
PAYMENT I DATE
10/02/91
TOTAL DUE
11 ra 1... t
PERMIT TYPC FEE AMOUNT AMOUNT 1'f-1 ... _1 AMOUNT OWING
BUILDING
67,14 67.14
1 ,fi 67.14
L.T.
I ******A P: R P. P: vh 9: P: ir: i4 AA P.:'4 .h $ iF 3e it—ii—Yi Pr
PHONE: __ 509 48?
ADDITICii*1
SPRINKLER= N
CRITICAL VAT
(;)i.iAN T I-1 Y
N
Il" le 3e:P:
RECEIPT:: PAYMENT AMOUNT
( 24 67,14-
A00 TOTAL PAID= 69„14
„
r _14-
, 0to
l'ii'9r Ye )1?1l"P:')l'34'
PROCESSED DY UENDE:L, GLORIA
PRINTED BY WE_NDEL_, GLORIA
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