1991, 05-28 Permit: 91002905 Reroof, Siding SPOKANE COUNTY DEPARTMENT OF BUILDINGS
1 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 nave read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agre- •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 t -issua ce of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or can• 1 the pr. isions of any state or local law regulating construction • as a warranty of conformance with the provisions of any state or local
laws regulating constructio .
SIGNATURE OF ia(7 - APPLICATION 3
OWNER OR AGENT �EL'�:! DATE f 'Z t ),.- /
t.:!,fl II: f'1 NUMBER= .i.: E1.}I::..% PERMIT .)A {I:. •• cf% ' ........ :'J PAGE= i;i;
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PERMIT USE= RE ROOF r,';: SIDING OF RESIDENCE
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PLAT-=PLATt= 000001
PLAT I r "•:r I••.... APPLE W HEIGHTS
BLOCK- i __1.. i i s...._ 9 ZONE= UR-7 TO....
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ADDRESS= i'I"" .OIt.A?`t?_. WA 99212
BUILDING SETBACKS : FOI:•: ... NA LEFT= i••:>{:+ RIGHT= NA REAR= NA
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CONTRACTOR= ' FAMILY ttv R" , ? ;
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D—> CR. i: I It ` QUANTITY "L ?:_ - i ): ^,.
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RESIDENTIAL VALUATION 1 94 . n0
1STATE SURCHARGE - `t.
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PAYMENT " ' : {1 :ts - „ PAYMENTAMOUNT
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I ,: : A 1... D Li?.:..... :.+:3 O i t t Y I... PAID= 67. 14
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PERMIT TYPE I"EE AMOUN..I AMOUNT PAID AMOUNT OWING
t BUILDING
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I:;Ri: l_;E ;ED `-1 JOHN LARSON
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PRINTED B i`f : JULIE S i'I Fi I !O
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