1991, 06-03 Permit: 91003025 Reroof.SPOKANE COUNTY tEPARTMENT 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 myagent 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 permlt/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions. any state orlocal 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
O `, DATE
PROJECT NUMBER= 91003025
ISSUED P'ERMI'T DA'T":= 06/03/91 PAGE=:: 01
PER
yr a vo v -a 3F ii 3*3P 3P 3t i¢ dr r.3P df is 3*i*3i�3*3*3r 3r`)*�i4 IT INFORMATION * dr *ieiHe* *i.i ii**ir *rf * �)E *:iE * brkie :iii * *
SITE:: STREET= 109140 F VALLEYWAY AVE PARC 654
ADDRESS= SPOKANE WA99R06•
PERMTT LSE= RE—ROOF Rr.c TDf Pr'r-
001852
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PLAT NAME= OPPhRT(JNI:TY(T R 1._:i •421NC. 147--
LOT= —1N-- UR -3,5 5 x,,TST4== L.
F /A= F W;. U TN== 1040 DEPTH= i 46 R,'W= e+0
U DW EL1-.;fti.c;S= WATER DIST :_
OWNER- HARBE T• STAN F'FIflNE: 'i'`9 S'9A 9029
STREET= 109140 1= VALLEYWAY AVE
ADDRESS== SPOKANE: WA 992°6
CONTACT NAME== E'i JESPERS ON PHONE NUMBER= 509 9f4 6666
BUILDING SETBACKS FRONT= Nr' LEFT= NA RTGHT. J REAP=
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1NTRACTtlt:,'- NEW WORLD CONSTRUCTION PHONE. °;09 9"4 6666
STREET= [ T=: iii N 'VISTA RD 3--T3
ADDRESS= SPOKANE WA 99212
NEW=
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ADDITION=:: CHANCE OF UVF:
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SPRINKLER= N
CRITICAL •iMA i- N
STORTES==
DESCRIPTION GROUP TYPP ''i 1::'T VALUATION
RE—ROOF F:--3 VN
' 151 0.60
ITEM DI=SCiIPTION QUANTITY FEE AMOUNT
Ri_S1D_ENTIAL 'VALLA ION Y 37.0C
COt.1N T Y SLiRCHi RGE Y 5,92
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PAYMENT DATE RECE1i'I4 PAYMENT AMOUNT
06'03/91 3786 47 42
TO) At DUE 00 TOTAL PAID= 47.42
PERMIT TYPE -"E AMOUNT AMOuNT PATD -AMOUNT (WING
BUILDING PERMIT 47.42 47.42 00
47.42 4 , .... .00
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4
SPECIAL CONDITION CHECKLIST
Project •
Address: Project # Use.
Dept:
Dept. of Bldgs.
Engineer's
Planning
Utilities
Other
Date:
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP
Easements
Road Plans/Improvements
Bonds
Bonds
Double Plumbing
ULID
!nit:
(in)
Appr:
(out)
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.