1992, 05-20 Permit: 92003571 Reroof SPOKANE COUNTTDEPARTMENT OF BUILDINGS
W. 13030�� � 0���������
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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 permit/applicationis true
and correct, and authorize Snku eoo nty 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
PROJECT NUMBER= 92003571 ISSUED PERMIT DATE= 05/20/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET= 10402 E 15TH AVE PARCELO= 20544-3724
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE-ROOF
PLAT4= 002704 PLAT NAME= UNIVERSITY PLACE
BLOCK= 36 LOT= 4 ZONE= AGSUB DI%T4= E
AREA= F/A= F WIDTH= DEPTH= R/W= 60
0 OF BLDG%= i 0 DWELLINGS= i WATER DIST =
OWNER= NUD%E , THOMAS PHONE=
STREET= 10402 E 15TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= %EAR%/DOREE PHONE NUMBER= 509 489 i170
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* BUILDING PERMIT ****************************
CONTRACTOR= SEARS PHONE= 509 489 1170
STREET= P O BOX 3707
ADDRESS= SPOKANE WA 99220
NEW= REMODEL= X ADDITION= CHANGE OF USE.::::
DWELL UNITS= OCCU = BLDG HGT= %TORIE%=
BLDG W X D = X %Q FT= SPRINKLER= N
REQ PARKING= OHANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQFT VALUATION
----------- ----- ---- ----- ---------
RE-ROOF R-3 VN 2800.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
RESIDENTIAL V
---------
RE I ENT A UATION Y 54.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE V 9.72
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT0 PAYMENT AMOUNT
05/20/92 3779 68.22
------------
TOTAL DUE= .00 TOTAL PAID= 68.22
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------
BUILDING PERMIT PERMIT 68.22 68.22 .00
------------- ------------
68.22 68.22 68.22 .00
PROCESSED BY : DOMITROVICH' ROBIN
PRINTED BY : DOMITROVICH, ROBIN
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