1992, 03-16 Permit: 92001563 Siding, Soffit, Facia SPOKANE COUNTY.DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)4"56-3675
I certify that I have examined this permit/application,state+`jAhe information con> ined 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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE ___
` i: _ . C T NUMBER= . 001 * : 3 ISSUED PERMIT DATE= fs. ' ` 2 PAGE=r� = 0
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SITE STREET= 4306 N KELLER RD PARCEL4= 03541 -2202
Ai)DF':IE:SS:::: SPOKANE WA 99216
PERMIT T USE.::::: SIDING, SOFF'IT & FACIA
PLATO= 000205 PLAT NAME= B 1. i I NE:R ' S SUB.
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BLOCK= 1 LOT= ':- ZONE= f A�:T RR.:i: U t:,c:T 4:::: i..i
00000000 F/'1= I... WIDTH= DEPTH= 'I 1
41 OF BLDG, :::: 4 DWELLINGS= •t WATER ER D1, '1 =
OWNER= i::•FRRAiUC)L..C:) : SsHER'RY PHONE= 509
92"I 9887
STREET= 4306 1•J KS.E i._i._L R IDD
ADDRESS= SPOKANE Wf•':', 99216
CONTACT NAME= i''±CVAY BROTHERS CONTRACTORS F.'I..inNi::. NI•,_MFtER-:: ; 9 9.;q.f 4A ;56
BUILDING SETBACKS : FRONT= ±.1/f•! LEFT— N/A R.±.Gi..iT:::: N/A REAR=
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CONTRACTOR= r : itT : ROS CONTRE; � INC 5: 3 ' % '
............ . . .
STREET= 3106 r' AI'4'iyt-tN 'tE:: RD
ADDRESS== i1-`!'..11',(~1litl". Wf"i 9921
t::.I,j= r:l::.i1f1,iL-:.I...:::: x:. ADDITION= CHANGE I f USE=
DWELL UNITS= O t.:t1 t I I-'., L..L?= BLDG I'?}.Y ± .... STORIES=
REQ PARKING= IEt••,A}r:?>.Et..:titI'`::r. CRITICAL MAT= N
DESCRIPTION" ± :,.ON GRC:iUP TYPE EQ FT VALUATION
S J.DIl G/.y&F R-3 VN 5021 .00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION T•:iON •'r 81 .00
STATE :.I_II'RC:F•tA±'t.CTE:. 1 4.50
COUNTY Y SURCHARG i 14 .58
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PAYMENT DATE Y E"C:E.F.F'T M: PA'Y'MENT AMOUNT
03/116/9.2 1738 100.,08
TOTAL DUE= .00 tdtPAID= i00.08 0 . ,srPERMIT t.. TYPE E ±::.L.. AMOUNT AMOUNT PAID AMOUN ± OW I.Nt.
... f t -T
BUILDING PERMIT 100.08 100 . 0 ;) 0
100.08 100•,08 . 00
PROCESSED BY : IOML "ROV E ;H : ROBIN OBIN
PRINTED BY : ?OM1T± OtIc " , ROBIN
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