1991, 11-12 Permit: 91007766 Roof RepairSPOKANE COUNTY-tEPARTMENT OF BUI,I_DINGS
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 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 REOUIREMENTS/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 t �� APPLICATION it/�?/ 1/
OWNER OR AGENT DATE
PROJECT NUMBER= 75 00 7766 ISSUED E
di9t. i.: ii Se
SLIT
fiTF�
PERMIT USD
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PLATO':
BLOCK:.
0: OF BL..DC;
STREET=
ADDRESS=
IIT DATE= 51/1:,:91
1i.)i. PERMIT INFORMATION *:
��i;r �ii�4i�ie i•: ri�ie ii�fi�
5711 S PINES RD E'ARCEL..O== 27542....1144
SPOKANE 41A 99202
.N...ACE PORTION OF ROOF ( TREE: DAMAGE)
001220 PLAT NAME:.::
LOi'
00000000 00000 F %'A-
5 DWELLINGS=
'ON, CYNTHIA
5S PINES RD
'lfKANG WA 99202
HILL CR.=., T PARK ADD
ONE:: ,SFR DI:,'aTi:::=: I
F WIDTH= DEPTH=
1 WATER DIST --
CONTACT NAME= 1<IMPEL. CONSTRUCTION
i.):1 1) tiJ; SETBACKS: FRONT= NA LEFT= NA
CONTRABTOR
STREET
ADDRESS
NEW=
DWELL UNITS=
REQ Pr1RK:I:NG:.,,
nun-msim'.m;*ii BUIL_DINC:
K IMiPir:L. CONSTRUCTION
5708 N MARKET
;;: OKANE LA 992(•)7
OCCUR, LD=
X SC., FT=
O - .0 .L L..r.:,l.==:
DESCRIPTION GROUP
REMCODE:L.. R-3
ITEM DESCRIPTION
RESIDENTIAL. VALUATIONSTATE SURCHARGE
COUNTY SURCHARGE
.A..p...p...A..u. * *-)e.)t..➢: *')F.}i..)t' 3'..*.}F
YMENT DATE::
51/12/91
TOTAL. DUE
i'ERml...f.
BUILDING PERMIT
PRINTED
FI
PHONE::::
PAGE:- 01
PHONE: NUMBER= -- =%fi _j 4:00
RIGHT== NA REAR== NA
.... ..
E. 1'{.)�:.)1..1i.:li:'llA'Y4'�l'Yl'it')l'Yl")l'it':k:'.'A"It R"h:"h'll ik ii'•}(. **il'
PHONE= 509 403 "1500
ADDITION=
BLDG HGT=
SPRINKLER= N
CRITICAL MAT= )4
CHANGE OF USF
TYPE :i'4 FT VALUATION
VN 2100.00
QUANTITY FEE AMOUNT
T
54.00
Y
4.50
Y 3.6
PAYMENT SUMMARY }idi-}iiiu)rai..u..u..i.*.u.X.u.x.,
R .E1r e.
B573
00 TOT,,)l._ PAID=
G:: AMOUNT
,.,r.14
_....---
67.14
SI iAT TO
sI-IATT0
.***'f;.*** ii 9i. si Y.:ri 4Ii a: it .*:,.. rn: ni 4i )E Yi 4i.:u.,,.
AMOUNT PAID
11
67.14
PAYMENT AMOUNT
r'.1="4
AMOUNT OWING
0 LI ii li; • * * * 3t )i m'r - ik * * iii * *