1991, 05-13 Permit: 91002548 Reroof SPOKANE COUNTY DEPARTMENTyy -- OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE„)VSHINGTON 99260
(509)1s6-3675
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,or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT U { = 91002548 ISSUED PERMIT DATE.= 05/13/91 PAGE:::: 01
• .*** PERMIT INFORMATION * ****** ******* * 3'3** **
SITE STREET:: 13510 E V ALLE.Y WAY AVE. PARCELO=:: 15544—1 41 0
ADDRESS= SPOKANE:: WA 99216
PERMIT USE= RE—ROOF
PI...AT4= 002755 PLAT NAME= VERA
BLOCK= LOT= ZONE= UR-3.5 DIST:„::::: s•:
AREA= F•"/A- F WIDTH= 90 DEPTH= 1 t 0 I-/W= 40
OF BLDGS= 0 DWELLINGS= 1 WATER DIST _: VERA
OWNER-: ZAI._UDEK. , JACOB PHONE::::: 509 928 7217
STREET=: 13510 E VAI._I._E.YWAY AVE
ADDRESS= SPOKANE WA 99216
CONTACT NAME== INSTALLATION -•• BARBARA PHONE NUMBER= 509 489 11 0
BUILDING SETBACKS : FRONT:: NA LEFT= NA RIGHT= NA REAR= NA
x **•x*x*•*%*x*. *****••**x********* BUILDING PERMIT • **ac*•x xR*•*•;i***.***•xy~•;#:•** •**
CONTRACTOR= SEARS PHONE.::: 509 489 1 1 r 0
STREET= P 0 BOX 3707
ADDRESS= SPOKANE WA 99220
NEW= REMODEL= X ADDITION=: CHANGE OF USE::::
DWELL UNITS:::: OCCUP. LD::: BLDG HGT:= STORIES=
BLDG W X; I:; == X SG FT= SPRINKLER= N
REQ PARKING= OHANDICAP= CRITICAL_ MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RE—ROOF R-3 VN 1607.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION 'r 39.00
STATE SURCHARGE Y 4a 50
COUNTY SURCHARGE 6.z4
•x********** • •*•x********•x**** PAYMENT SUMMARY ***** *•*•*•***•** ***tt*********
PAYMENT DATE RECEIPT:„ PAYMENT AMOUNT
05/13/91 2823 49.74
TOTAL.. DUE:: .00 TOTAL.. PAID=:: 49.74
PERMIT TYPE: FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 49.74 49.74 :00
49.74 74 49. 7 4 .00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL., GLORIA
r*****.b***•acs•** ••********•***».** THANK YOU ****: *** ******** 33 *** *** **
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
Hydrant )
Lock Box
„ „...
!. •-;;. ..j
. 1..1• '
Engineer's RID/CRP
Easements
Road Plans/Improvements :•-;
Bond : • :
' ' • s. ' • •
T ••••'i ;.;.; '• .
:••
r/r- •••
Planning ' B9n..0 : . . . . .
.. :.„
. .
., . . .
Utilities Double Plumbing
ULID
. .
...........„ . . . . .......
Other_
. .
.1 (j.„
•
6 • . !;
**************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY***************************—
Date received for C/O 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 C/O issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned: Received by:
No response from owner/contractor-plans destroyed: