1991, 09-16 Permit: 91005867 Reroof SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWA/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
1 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 NUMBER= •,; ,r.. ......:....... .?.,:.,`,1..ii::. ; PE::.1-,;"E.!.T inA'i^E••.. 09/16/91 ?•'r.:i_r?::..._ 01
:!..i'..'.d::'.a:'.i'.d l:'.:::'.:'..•'.* .j:.:lf..ji.:j.ry:.i:.*n[.:i..j.*,* pERmIT F ?1 H *********,k******* ********
"' STREET= . 05 ... ,. E:ri-31'ti.:±..• n 25 t44_ 08
,
ADDRESS= SPOKANE WA 99216
PERMIT USE= RE ROOF
i": b•: i -,f--... 002404 PLAT NAME= ... "t`!EIt ! ,) ADD TO WOODWARD PARK
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'.t!...t.�'..:K= '.J LOT= 3 LUNL=... t..l?"ti Et,t'ii 1.)11 ,1,-- i..
AREA= 00000000 I::"i i..,:::: F WIDTH= '.'F::.i." { 1.'!:::: . ./W= i!_}
OWNER= STACK , JAMES PHONE= 509 926 7395
ADDRESS= SPOKANE WA 992.16
CONTACT
id :C , ' = E= SEARS ' } C' . F 1� ; NUMBER=
489 1170
BUILDING E BA :tS : FRONT= 7d « ^ j= NA RIGHT= N : REAR= NA
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CONTRACTOR= SEARS P HON E= 509 489 1170
R EKE
( = I:i 1 i t'i iii, 3707
f'a;:::;?i;t:. :':`::'= SPOKANE WIf.:'E 99220
NEW::: REMODEL= X ADDITION= CHANGE O?" USE=
DWELL
, i iI l.i..`..,"= 1 i ti�i.t,P E"t:::: BLDG 3i ! ... STORIES=
BLDG r• ,, ,: SO SPRINKLER=
REQ PARKING= O±^If•'i!`s?^}.Li•(.:i,-.... CRITICAL MAT=
DESCRIPTION GROUP TYPE`?". :,,..Q FTVALUATION
RE
E r., :.. N ,q 1 3 4 ,0 tai
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION 63,00
STATE SURCHARGE 4 ,50
COUNTY SURCHARGE Y 10..08
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4':3C'&:+::±±!•t:.1!...!:P:4±:P.}±. ,-.�-.}!}!}!}-. :-. P.P.9+r�1'-i�1!i•t!i'Iti'l+i +i ai:±i�}±i �'t•-3'f!"??::.!`'. ! :":t..{t;±,t i!•t;'7 ....:.3.P }
PAYMENT DATE !"`.?«.t..!::..?.i.: ! ,,,_ PAYMENT I F-??"!t..t? N t
09/16/91 6533 77..58
PLRmIT IYPE FEE AMOUNT AMOUNT PAID AMOUNT
77,58 77,58 „00
PROCESSED Ft y: , JOHN
a,«.:•,:•:,
PRINTED BY : JOHN LARSON
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