1992, 09-01 Permit: 92007058 Reroof SPOKANE COUNTY DEPARTMENT 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,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 t "' lR: 92007058 ISSUED PERMIT DATE= r ; '; ` . . PAGE=
01
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SITE STREET= 16905 E 4TH AVE PARCEL4- 45241 „9095
ADDRESS= b'i::.F A.ti,A t...i::. I;:;[.:1 99037
PERMIT USE= RE ROOF RESIDENCE
FLAIO= 999999 PLAT NAME= RANGE
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AREA= gr - :: : " " !n . . WIDTH= t , DEPTH-, j; ^ i }_
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O €...t?{:res".. ?:t,ll.t.i....l.!`li.:!'}:.. f Zfif? . ER! DIST ....
OWNER= GRAVES , SHARON ?.:i..?iiN3::.= 507 928 5178
STREET=E 16905 I:. t €s i�4�tt3€::,
ADDRESS= . _;F_Ai%At•t..i::, tWA 99037
CONTACT
NAME= 1 ' LfNvROOFING
.h. SUPPLY PHONE NUMBER= 509 535 1 ::. ......
NA LEFT- N{.:, RIGHT= NA €... tit;:::: N{..1
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CONTRACTOR= INLAND ROOFING & SUPPLY LY I.:y..€t.. €'?€::. 'DW.i 56!) € ..:66
STREET= '• 't n t'f #::. SPRAGUE ;''t'u E:.
ADDRESS= SPOKANE iJ:l i`s 99212
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL, .t,-DWELLi._#:t.€. € '? i..#{..{.:t.i?' # `• SPRINKLER=
(..#ts ? .... STORIES=
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REQ PARKING= OHANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP S .'€:: SQ FT V A it:
€;E :`;t_,i{:i:' R...,,:r VN :....f; . .,:.t:)
+ -ev DESCRIPTION QUANTITY h'f^ AMOUNT
RESIDENTIAL VALUATION
i r•"•t t r' SURCHARGE
4.50
RESIDENTIAL SURCHARGE .. ...
.......... I.:. ...;... .... r is
..,..1+:•ttr a''fk'1C.p:.++:.?,,.�t.y„...,:.,+..,•r 9k•P:.++••P:'A:•lk 9+:••}t•;t'lt Jt 1+..l,..J,..,t:9+:3t; ,i j'i`??::.i'ti € ,.S{J€"?'`i[.::{•L`� �4.r+t..1+,.++..+1..t+i�'G?+:�i. ..t !... .. ,. „t.1.1.i...J. .
PAYMENT DATE , „t,', . ' i PAYMENT AMOUNT
09/01 /92
ilC!O 68.22
TOTAL DUE- ,00 TOTAL PAID= 68.22
PERMIT TYPE FEE.. AMOUNT AMOUNT PAIDAMOUNT OWING
BU i`?{T `+"i::.i'<M.#. € 69.,::s;s 69.22 .00
6822 68. 22 ,00
PROCESSED ':i ' JOHN LA ON
PRINTED BY : ,_i€OHN LARSON
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