1992, 05-04 Permit: 92003053 ReroofSPOKANE COUNTY D(p R*UEIJt 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 - - - - • .• m •1 with • II provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. l understand plication and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate. cancel thesis'. nso any . e or local law regulating construction, or as a warranty of conformance with the provisions of any stateor local
laws regulating con
SIGNATURE OF APPLICATION
OWNER OR AGE _ DATE
PROJECT NUMBER= 92003053
4 /772
ISSUED PERMIT DATE= 05/04/92
PAGE= 01
3f3f3e3v3f3f3i3v3f** 3F k3E3t3i•3t3E3t•3t H•3e363i•*** PERMIT INFORMATION 3i*#3e#3E#3e3E3E#3e3e#3f K3fe3 3e 3e 34##3f3e3Ek
SITE STREET=: 613 N WILLOW RI) PARCEL..:=:: 17543-0533
ADDRESS= SPOKANE WA 99206
PERMIT USE= REROOF HOUSE & GARAGE
PLATO= 001£355 PLAT NAME= OPPORTUNITY SUE+.TK•99
BL_OCK:::: LOT= ZONE=:: UR—.7 DISTv:::: E
AREA= 00000000 1=/A== F WIDTH= 91 DEPTH== 200 R/W== 40
OF BLDGS= i 4 DWE::L..LINGS'= i WATER DIST =::
OWNER= ROBINSON, DENNIS J PHONE= 509 928 7493
STREET=:: 613 N WILLOW RD
ADDRESS= SPOKANE WA 99206
CONTACT NAME:= DENNIS ROBINSON PHONE: NUMBER= 509 928 7493
BUILDING SETBACKS: FRONT= NA LEFT=: NA RIGHT= NA REAR- NA
) ** ******)i •) M******** 3i ** 3****** BUILDING PERMIT 3****iF***** 3i3ik3kyt X 1(3*3E
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE
DWELL UNITS== i OCCI.iP. I...D= BLDG HI:.T:=: STORIES=
BLDG W X D= X SG FT== SPRINKLER= N
REG PARKING== :"HANDICAP= CRITICAL_ MAT:= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
REROOF R-3 VN 2000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL. VALUATION Y 45.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 8.40
#3t•3t•#3t•3t..tt•.M•.tt•3F3f-M3t•**3e3(-*3e*1t.3(- fle3f•3t-*3r3i*3t PAYMENT SUMMARY 3<3t•3i3h3F3i3E3t•#3F#ii34#riit•1(•3F3t..1t•3t 3431 u3e 3e 3i 3i
3i*
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
05/04/92. 3269 57.60
TOTAL DUE= .00 TOTAL PAID= 57.60
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 57.60 57.60 .00
57.60 57.60 .00
PROCESSED BY: JULIE SHATTO
PRINTED BY: JULIE SHATTO
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