1992, 06-19 Permit: 92004546 Re-Roof SPOKANE COUNTY DEPARTMENT OF BUILDINGS
- ` W. 1003 BRGADWAY AVENUE
SPOKANEfWAGH1INGTON89360
(509)456-3675
I certify that I have examined this permit/application,state that the information contained in it and submitted byme or mytgent to compile said permit/application/ true
and correct, and authorize x County tproceed with processing. In addition, them
I have read and understand /wupsorN REQUIREMENTS/NOTICE
provisions included herein and agree to comof laws and ordinances governingthis of work will be complied with whether specified
SIGNATUREherein 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 th,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. /
O, _��� �� �� APPL|oAT0w �� ���7
OWNER OR AGENT '� ^_� �� DATE IO -��^ - � �
PROJECT NUMBER= 92O04546 I%%UED PERMIT DATE= O6/i9/92 PA�E= Oi
******************ii:*******if:* 1::'ERMIT INFORMATION ****************************
%ITE %TREET= 4O43 % %CHAFER RD 1:::AR1::::E1...:11:= 45324 .0i13
ADDRE%%= %POKANE WA 99206
PERMIT Li%E= RE%IDENCE RE ROOF
1::'L T:II,= OO2O89 PLAT NAME= PONDERO%A ACREJ 6T ADD
BL K= LOT= ZONE= UR 3. 5 ' I%T4= E
AREA= 00000000 F/A= F illDTH= EPTH= R/W=
0 OF BLD(;%= :II: DWELLING%= WATER DI%T -
OWNER= BENZIN(;ERLAR�Y PHONE= 509 994 257zy
%TREET= 4O43 % %C�AFER RD �
ADD�E%%= %POKANE WA 992O6
CONTACT NAME= LARRY BENZINGER PHONE NUMBER.= 509 994 2574
BUILDING %ETBACK% : FRONT= NA LEFT= NA RIGHT= NA REAR= NA
******************************* BUILDING PERMIT *****************»**********
CONTRACTOR= OWNER PHONE=
N W= REMODE = X D T = CHANGE OF U%E=
W LL U IT%= i OCCU = L = %TORIE%=
BLDG W X D = X Q = S.' R K ' = N
REQ PARKING= �HAND�C � = RI
^ I� MAT= N
DE%CRIPTION GROUP TYPE %Q FT VALUATION
----------- ----- ---- ----- ---------
RE ROOF R-3 VN 1814. 00
ITEM DE%CRIPTION QUANTITY FEE AMOUNT
.......................................................----------- -------- ........................................
RE%IDENTIAL VALUATION Y 43.00
INVE%TIGATION FEE Y 43.00
%TATE %URCHAR(;E Y 4
RE%IDENTIAL %URCHARGE Y 7^5�74
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
O6/i9/92 4702 98. 24
------------
TOTAL DUE= .00 TOTAL PAID= 98 . 24
P
__ ERMIT_TYPE FEE_AMOUNT_ _AMOUNT_PAID _AMOUNTO�IN�
BUILDING PERMIT 98. 24 98.24 . 00
------------- ------------ -------------
98. 24 98.24 . 00
PROCE%%ED BY : JOHN LAR%ON
PRINTED BY : JOHN LARJON
******************************** THANK YOU *********************************