1991, 05-02 Permit: 91002269 Reroof SPOKANE .,Ot ITY DEPARTMENT OF BUILDIN,iS
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 C/
OWNER OR AGENT L'� � , 1 ��` DATE t-)f� /
PROJECT NUMBER= 91002269 LESUED PERMIT DATE= 05/02/91 PAGE= 01
,.),..- P : ?*! :1..R ? ?a: ? ttcs*a ?: :: ::. ( { : s " :yINFORMATION ii {***.,,...n*K:k**:L7a iMe*** N4i ' P
SITEL_ :.t ? Rs::.1::.T= i } +' } 4 i::. 16TH AVi::. i.;{.:E}•:•.C}".i....y... 28542-1718
- ADDRESS= SPOKANE WA. 99206
PERMIT USE= RE—ROOF RESIDENCE 1
'i...A i•4=— t:L 0 i :i 93 E'`i•«t•;... NAME= 1,.x..514 OMO TOWNSITE
S...
t:'.,
t.tt.,its...• i LOT= r ZONE= AGSUB
e 00014000•. :::•..•. , WIDTH= ....
.,t. OF !:'i i:t::::>.... i •,.- DWELLINGS= 1 WATER DIET ....
STREET= 11414 E 16TH AVE
ADDRESS= SPOKANE c:....N.... WA 99206
CONTACT NAME=.... 'i.:i...i.. BEAN PHONE N= ....
LEFT= . . _. 1225
BUILDING SETBACKS : FRONT= c � NA RIGHT= •; ;_ r { : NA
t,..i :1.i? !:.:t•.F. ,1.!?!?!•.,t.r<.P.d.P.Jk.j1..P:a:;!:•P:;1: h*"ii ?i a• yi irk. ;.::.t::;...D I .... p L. .:-,j .j(..yl.:ly,ji...A•.P:.k ii:;::ti:;5::{.iC.•!t' F K'!.k'?t ft::'t'A:!t'!`-:.fi:'P:a'•ft•*
CONTRACTOR=
DWELL UNITE= i 1..%'t.:'t,,i,EP„ LD= BLDG ... STORIES=
REQ PARKING= .4:HANDICAP= CRITICAL MAT= N
DEEOHiFilUN GNOUF TYPE SQ FT VALUATION
ITEM E i! tt1 ,CRIPTION ' QUANTITY F.. ... AMOUNT
RESIDENTIAL
STATE;'-'sit... ;;a"!..•;,'i}' 7';s7 ;:VALUATION ;• _
50 1
COUNTY SURCHARGE , v
.,..,y...i...i.. ..y..S..i...Ji..,. t.?r.t,.. ..5..11:.!?, t1:-i3 'J .. ! 5, 1 ! !k:.i,.:tj. .:..- :•:,:.. i.:. :it;.y..}.:r?. ,..G:Ji:'t::t::�t::Ji. .?..i..�i..y....t._a1..j..!: .. ,i ! i t•
1, ..,., !?.!.t. k 9 ... .. :.. }t!.A 1.r:: .. t ,,:_,'! ; ,; „7}'%;•^r•�t i'i ; t.3. !, 1 ! t. ! Ik !.t.ii:•r`:7?•'J:-'i�J.•.!.
PAYMENT- DATE RECETPT4 PAYMENT AMOUNT
TOTAL
x. , 00 TOTAL PAID= 45 . 10
PERMIr TYPE t :... E' i::.i._ AMOUNT AMOUNT Etk:T .:ra 1, AMOUNT E;.1 t rH,-,
BUILDING i'Et:?'E:. ? .A5„ -10 0 .. .. ..
PROCESSED BY : JULIE SHAITO
PRINTED BY : jULIE SHATTO
9'•dk :; 7 ;9 J.: ?*: tv tP k ? Kn ;: : „ :.,: {! r? PTHANK you it ii Par iRi 7Pai* i: } : ,i ; ::! : :; P .:i}.. i: .:ii..dj:j.
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SPECIAL CONDITION CHECKLIST
Project
Address: Project# ____Wme:
Dept: Date: Condition: mit: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp. Final Report___
Hydrant( )
Lock Box
Engineer's � _ _- RID/CRP
Easements
RoaUP|unn/|mp,uvomonta_
Bonds_
- — -- ------ --- - --'-
Planning - _ Bonds
- — -- -- - --'
_ _______
_
Utilities _- Double Plumbing
--
ULID
-- --'
Other
``^^`'^^^```~`''`~~```~~^`^^^^`THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OFOCCUPANCY ONLY````''^```~~^^~~````-~~`'`^`~`
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O issued: __- —. Certificate of Occupancy issued:
Office file review by: _____ ____ _ . oum:_______-_
Filed insp finaled by: _ _ . omo:_
_______
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: Date: _________
Plans returned: __ - _ Received by: __-___