1991, 07-24 Permit: 91004475 Reroof mmrr...rr: r .
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
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i.:i.:i" ,..i'T NUMBER= 91004475 ISSUED
: ..R 't'{. DATE= 07/24/91 r•;
AGE= 01
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1 •. OF BLDGE= t ;';f!''? NG E= 1 t.'A-r'c:'f::' DI E T .._
) OWNER= DAVIE, BUDDY L , PHONE= 509 926 9595
. STREET= 11310 E 9TH AVE
ADDRESS= PO ANE WA 99206
j CONTACT NAME= INSTALLATION j1! "!i.#f`'i:.. NUMBER= .. ... t170
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1 BUILDING SETBACKS :
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CONTRACTOR= SEARS
PHONE= 509 4a9 i170
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I ADDRESS= SPOVANF W:. 99220
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!,,j :'A::: REMODEL= X ADDITION= CHANGE i•i;- USE=
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7 !:':t:.t;? PARKING= .N.,srsYi!A?.t f 3'.... `r:,, CRITICAL MAT=... !,
1 DESCRIPTION GROUP TYPE SQ FT - ' ' VALUATION
I RE—ROOF _ R.-3 "v' .. 241 ,00
;.; ITEM DESCRIPTION QUANTITY EFE AMOUNT ,
RESIDENTIAL VALUATION
.I ,•,.0:#,..STATE - SURCHARGE. ..F:
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;I PAYMENT DATE R!-i..,i::. : #- t :, PAYMENT AMOUNT
) 07/24/91 5006
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PERMIT 3 67. 14
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PROCESSED A.; #,I::.iu :!::.L..; GLORIA
PRINTED# i::.!_! .S : -fhi%:.N!J#::.t..., GLORIA- -
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