1987, 08-11 Permit: 87002574 ReroofSPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
NORTH 811 JEFFERSON
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct. 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 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 provisions of any state or local laws r •ulating construction.
/9/1.
SIGNATURE OF
OWNER OR AGENT
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APPLICATION ff - 1/ i• 7
DATE v v
DAT PALI,
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ADDRESS= i I_. ORCHARD WA 99027
- USF= RE—ROOF RESIDENCE
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"!...!'•f?,.!!.,. ._. M!!0071 PLAT NAME= c:: f.i•::'s;`?:.s..: •: ROAD MOBILE PARK
BLOC= LOT= 10 ZONE= R?''?i'i J,,! I;, t :F,:::::
AREA= 00000000 F/A= WIDTH= 75 DEPTH=
OWNER= KIRSCH, RICHARD G
STREET= 10724 E MONTGOMERY DR
U!IS uROHARD WA 99027
PHONE= 509 926 7587
CONTACT ,Jr..jMl=.... RICHARD ?.• ,..?.?•';:`>t.i-? I-`h•.'t_,-...: NUMEH= ... ...... ;':...
BUILDING SLTBAOKS: FRONT= LEFT= RIGHT= REAR=
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NEW= REMODEL= X
DWEL UNITS= OCCUR, LD=
REQ PARKING= 41fiiI`!!!.i. i.. ('iI-':-..
TYPE
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VALUATIONRESIDENTIAL
SURCHARGESTATE
SEWER= N HYDRANT= N
QUANTITY AMUUN1
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PAYMENT DATE
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RH:EIPTO PAYMENT AMOUNT
OWINGAMOUNT
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