1992, 12-16 Permit: 92011034 Reroof SPOKANE COUNTY DEPARTMENT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
J 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
i 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
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#.:,.;;:.i;••+. ? i`?#..!�"I!..•i::.#";= ..r;% , '# 'a...4 ISSUED PERMIT DATE= 12/16/92 PAGE= 0 }
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S•z SUNDERLAND ... !:v..
,:}!. i I". ,'• t t•t:-.�::. 3:::: 4126 .', .. 1"i••'!!''•'.t.:1::.t...:i;...: ry... ..'?.: 3.9107
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ADDRESS= SPOKANE NE WA 99206
PERMIT USE= RE—ROOF
PLATT,—T.n.... 999 NAME=
, ,,... RANGE
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BLOCK=
AREA=
a i ,..•r:- ) riry0ti WIDTH=
:f . R . 60
.. .• :»0 OF BLDG — r , DWELLINGS= 3 WATER . # : .
OWNER=
: , :.e:= r•,, I z , . t..;S•, LLOYD PHONE=
j..,NC . ':,`i9 926 2178
STREET= 4126 t. SUNDERLAND 1.?R'',
ADD#•:ES,.. • SPOKANE WA 99206
CONTACT
O, TA _ T NAME= SEARS PHONE
.ONiNUMBER=
i " B - `
f } 482 5685
BUILDING SETBACKS : FRONT= N/A LEFT- N/A ` 4 ]1 , : N/A REAR- N/A
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CONTRACTOR- SEARS PHONE=Ir,KE= • t,'•i°:y 489 1170
ADDRESS= SPOKANE WA 99220
e=?!...tn:.... REMODEL=t?J lrE#...... X ADDITION= CHANGE#'�?.vl::. OFi.1,::?::...
DWELL UNITS=.. •� BLDG iff:r'` ... STORIES=
REQ
PARKING= ;i:#-AND.I.C A-'..:: CRITICAL Mf 11 •- (.J
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VALUATION
RE—ROOF R-3 VN 4367.00
ITEMDESCRIPTION
RESIDENTIAL VALUATION , 00
STATE SURCHARGE 4 .50
RESIDENTIAL SURCHARGE i..#ARist::. •i 12.96
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PAYMENT D A # E tom;t::.1..:t::..?.t.. # : PAYMENT AMOUNT
I 2/16/92 1 347 09 ,46
TOTAL i.?i.?1... .,':�•,r TOTAL i''i.a , i,r• 09. 46
PERMIT TYPE FEE AMOUNT
AMOUNT i ?'`A.i. i AMOUNT OWING
• BUILDING PERMIT :{`sr r, 29 46 00
39. 46.. .4,, ..'"?.. ... .. .. ..
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1: 1}.r•. :�.1}. a r•.r,:,.Jt n. 1t?t.!t.u. 1•. 1...:...1.1. r.•1...?...1t 1.1t r. u THANK you '