1991, 03-28 Permit: 91001426 Reroof SPOKANE COUNTY DEPAf MENT 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 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
..............
PROJECT NUMBER=t"tBER= }• ! t;J0; :}::`6 ISSUED PERMIT DATE 03/28/91 PAGE= 01
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ADDRESS= V?::.i"-.(Ait)t•ii...E WA 99037 . .
PERMIT UEE=
RE—ROOF RESIDENCE
....= 002646 PLAT NAME
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AREA= 00017000 . WIDTH= : j
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OWNER= i' t'{t: i , ,..T BUD PHONE=
509 924 0706
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ADDRESS= +/'ER�fiDrAi...E WA.. 9037
CONTACT Nf–tME:::: {..jWE::.!''d::i ROOFING :::110 NE LEFT= RIGHT—�
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BUILDING }{ 'i :' FRONT= :i ?tNA REAR- NA
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STREET=
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ADDRESS=is S .::Pi.KAt'•.1f::. WA 99223
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DESCRIPTION GROUP=tt••- .$... !"[E ;:;Q FT VALUATION
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ITEM Dk:.E?.:t';.i.t.: r .!._..t.•, QUANTITY FEE AMOUNT
I':t::.[`:.I.t_tE t .{.f•tL VALUATION
ETATE i f F:. :;i IRC.:I"If?i";G1 4 .50
COUNTY r' .. HRCHAR?E
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PAYMENT f !_A t I::. t;k:.?.:G:.. P I •y #'`A Y f"ti:.N..' r;tl't?.i:,.)rN t
:3/........ ."t 1592 67. 14
TOTAL -? E : .00 , { If ; PAID= 17
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PERMIT t ItPE FEE i•?Pt?+?.91':! i AMOUNT f 'A.i.iJ AMOUNT i Ot It`••ii-„
BUILDING PERMIT 67. 14 ..? f[.. 4 .00
67. 14 'j 4 t 1 ifs)
FROCESEED BY : WENDEL, GLORIA
PRINTED ?;f tj : W i•• N 1 j E.. GLORIA
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# _ _Use:
Dept: Date: Condition: 'nit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp. Final Report
— — Hydrant( ) ---
Lock Box
Engineer's___-- _ — RID/CRP
Easements_ __-
- Road Plans/Improvements —_
— — Bonds
Planning — Bonds
Utilities _ Double Plumbing
ULID
Other —
*******************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for 0/0 processing: Plans pulled for final processing:
Temporary C/O issued:—_ Certificate of Occupancy issued:
Office file review by: _ _ . Date:
Filed insp finaled by:__.__._._--- . Date:. -- -----------__-_..
Ninety days after CIO issuance:
Owner/contractor called regarding the return of plans: Date: .
Plans returned: ._—_ _ Received by:_---- — ----------------__________
No response from owner/contractor-plans destroyed: