1991, 07-17 Permit: 91004280 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
I'`FFi_;:.;L':.i.:T NUMBER= 910`'t4....;!;; ISSUED PERMIT DATE= 07/17/91'1 PF';i.._-.. 01
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SITE S i I'i E.I::.T:::: 10410 #:: 14TH ��t t;`;-: ?':t.".i!'4 l..E _.. 20544....:323.4
ADDRESS= F'i.O K A''!N E WA 99206
P E R t"?i, ? USE= RE ROOF FE::`.5.I.))rJ E i ?.
L...T....... 002.704 PLAT YI't UNIVERSITY
PLACE
BLOCK= 31 LOT=_.. .sye}"i s:.Ol•±C_..:. UR 3.5 DIST4=
�.:.
AREA=
RE ,•` WIDTH= :.-!.::: ../tri
41: OF 1:s ;.it.:,.= .,!• T:i IAi I=. N!_, ::- WATER DIST
OWNER=
. } t• ..». KEVIN PHONE= ..:.. ? 535
9237
STREET= '1t'}-[.t'i +.J E 14TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NtiE: KEVIN DcEG?
PHONE NUMBER= 509 . ..` •'s 5734
;:c i.;.#.#._D.i.?`•I t,,, # ;;4!•:!..:t,-. FRONT= NA LEFT= jv¢:! RIGH1= NA t•. #'•.s...r
*K**********:******************* 5 _ , io NG E :" # „ 1] j ; { jjjtkPp : j..i;..Pj: g ¢ jt *: ijp
CONTRACTOR= OWNER PHONE
NEW= REMODEL= <, ADDITION= CHANGE OE USE=
DWELL UNITS= ! O t.:i.:t.;#" , L D.... BLDG s H G I — STORIES=
BLDG W X 'I j = <. `fit:. t� i_.. SPRINKLER= N
REQ PARKING= 4HANDICAP= CRITICAL MAT= N
DESCRIPTION
t,yi•'•.t.;i.;s'.' TYPE :::Q FT VALUATION
RE ROOF R-3 VN 500 00
ITEM EM DESCR.# Pi:tON QUANT t ? 1"1::!::. AMOUNT
,.5 sr i'a ? !... :5 I t t•r C1-1A t'°•.G e:: =4 . 0
COUNIY SURCHARGE
?!,j'}G'}Fi•}er•Pr'}+i•Pi'}+:•Pi'l+i'A••Ni 9}i•Pi•}4•A:•Pi.x..}4•'}t•li•*•!!i•ih•fti•ll•'fyi i+i ar'R'•h: i''C••1(#"??::.#tJ #IME•NT
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PAYMENT DATE RECEIPT PAYMENT AMOUNT
07/17/91 4786 45, 10
'OTr':!I... ;.tt:;l::.:::: .(*) TOTAL 1 A?... i:'r`!:i.t ::.. 45 , 10
PERMIT , r • E FEE AMOUNT ( M" P - PAID A " U` # OWING
BUILDING PERMIT 45 . 10 45 . 10 .00
45, 10 45. 10 ..0{:)
PROCESSED BY : jOHN LARSON
PRINTED ED ,i: . -.,jt„ii"IN 1_ARS'ON
i!r*:N••P:****•j{P• h"+i:7•r G•A'***:;7:+i'R'•Pr N..+j'•}+i*$+i**•Pr 3+i* THANK - 0 I„i 9+:R•'R:'i+.•'i 'i i :+i'Pi X: 'Ni'Fi 3:• 'P:*....'7+i***..-Pi ii•?+i***P:9+i-hi
nas'
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SPECIAL CONDITION CHECKLIST
Project
Address: _ Project# —______—__Use:
Dept: Date:Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report_—_.^_—_-------------------------___---
—__— —_ Hydrant( )
Lock Box — --— — — — —
Engineer's —_—._.____. RID/CRP
--- -- — —
Easements •Road Plans/Improvements
Bonds --
•
Planning.___.__ Bonds
•
•
•
Utilities _ — Double Plumbing -
- ULID — — — —--
O •
ther -----_ __�___—__- ---- — --
•
`*****************************THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY************"*****************
Date received for C/O processing: —. —_ . Plans pulled for final processing:
Temporary C/O issued:_ ______ -- Certificate of Occupancy issued:
Office file review by: —___-______—_— --_ Date:_
Filed insp finaled by:— — __ . Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: ___ Date
Plans returned: _____ ________ Received by:____—________- --.__-._-- --_._ --- ------------------------ -
No response from owner/contractor-plans destroyed:_—