1991, 10-09 Permit: 91006682 Reroof SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROAEIWAY 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 / 7%
APPLICATION 1 DATE
PROJECT NUMBER= 91006682 ISSUED PERMIT DATE= 10/09/91 PAGE= 01
ii 3i ii)t it it ii it x *fl r 3t »3r it 3r i s * it PERMIT .E N F"O i M A # .t.#l j,� iE ii 3t ii*ii it}t N ai ii*it*r*!e ii ii it:*ii n ii
SITE STREET= 681 i E 1 i TH AVE:: F'AF rE"i...4- 24534-1703
ADDRESS= SPOKANE ANE:. WA 99212
PERMIT USE= F;f' ROOF RESIDENCE
PLATO= 002810 PLAT NAME= WALLACE ADD
BLOCK= i I...C.i_i.=: 3 ZONE= UR 3, 5 DISTO= E
AREA= t10i0 :�"J'J000 F •'A:::: I:: WIDTH= 0 DEPTH=Ti'i:::: 'i ::�'.} I?:'i,.i::::
OF ,i , ti :t. DWELLINGS= I WATE:R DIST =
OWNER= JOHNSON TOM PHONE= 509 747 7756
STREET= 1815 I. I'd'.±F4 1'C i N F?4•E:.
ADDRESS= SPOKANE WA 9920;
CONTACT NAME= TF�nM JOHNSON HONE NUMBER= 50° 747 7.-1';A
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAR= `rata
!l**•A••P:•**) •P:it:*•.;R•.*••jr*•jh'tt•):b:'P:*It:•Jl X'*3i:•-P:7l R•*•* I:t ii I:i...D 1 N t t p E p i!.#. I u•*3t•a•A'r*j{..p.:a:3;•h:•r.•3'*''.•.**N:ii-ii••u:..•;t•b••ri:a•
CONTRACTOR:::: OW NEER: PHONE::::
NEW= RE:MODEL..:::: :X " ADDITION= CHANGE OF USE::::
DWELL UNITS=.Yi O C t::UP a i...L:l::= BLDG H G # ••_ STORIES=
BLDG W D ::= x SO FT= SPRINKLER= N
REQ PARKING= :mHANDICAP-: CRITICAL MAT= #`J
DESCRIPTION GROUP TYPE 50 FT VALUATION
�••r.
RE i;OCii:� R•_•3 's;N 1500,00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 35 ,00
STATE SURCHARGE Y 4, 50
COUNTYSURCHARGE %1' ,, ' ..
,it!
A...... .... .. .. . . ,1 S .F.. ... ........... ......
X P:•P:N•A••P••;L•lt;.:)C.je:.)l..j{..ji.N..X..34..jk.P:h:•R-•;t JI:•3{)t:4+•�:�)l ft:.1,:.j,.�(. F''f•�Y 1"1 E:.1`^i 1 :�ti Ci t"#(")P{Y •1C 91:•;{fk 94..R..A:F•9t•Jt P:•H-P:•;t:..jk.u:.jk.jt•.A..P:-;t••F:-P:-k:•;{•**P:
PAYMENT
DATERECEIPTO PAYMENT AMOUNT
10/09/91 7495 45, 10
iO # AL. .DUE=:: 00 TOTAL PAID= 45:. 1 ()
PERMIT TYPE F'EE:. AMOUNT AMOUNT PAID AMOUNT :OWINi-,
BUILDING PERMIT 45 , 10 .4G).. 10 ,00
45, 10 45, 10 .00
PROCESSED BY : JOHN LARSON
PRINTED E:.i.D By% : JOHN L..ARSON
*4****************************** THANK Y ..1 I.. ********a************************