1992, 08-17 Permit: 92006494 Reroof SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WAS'JINGTON 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 1-/7 G� 1
OWNER OR AGENT . e,W A ._ DATE / /
PROJECT NUMBER= 92006494 ISSUED PERMIT DATE= 08/17/92 PAGE= 0i
**************************** PERMIT INFORMATION ****************************
SITE STREET= 11420 E 18TH AVE PARCEL4= 45282.2104
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE-ROOF RESIDENCE
PLATO= 001393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 5 LOT= 102 ZONE= AGSUB DIST:= F.
AREA= F/A= WIDTH= DEPTH= R/W=
4 OF BLDGS= i 4 DWELLINGS= i WATER DIST =
OWNER= RICE JERRY PHONE= 509 894 6407
STREET= 11420 E 18TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= COUNTRY ROOF COATING PHONE NUMBER= 509 535 6691
BUILDING SETBACKS : FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* BUILDING PERMIT ****************************
CONTRACTOR= COUTNRY ROOF COATING PHONE= 509 535 6691
STREET= 1130 E SPRAGUE AVE
ADDRESS= SPOKANE WA 99202
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITS= OCCUP, LD= BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= 4HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RE-ROOF R-3 VN 5625.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
-
RESIDENTIALVALUATION-^----�.. _-'� _. ___. -_ __.__.- 84 .00
STATE SURCHARGE Y 4.50
RESIDENTIAL SURCHARGE V 14.58
******************************* PAYMENT SUMMARY ****************************
PAYMENT DATE RECEIPT; PAYMENT AMOUNT
08/17/92 6615 100.08
TOTAL DUE= .00 TOTAL PAID= 100.08
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 400.08 100.08 .00
100.08 100.08 .00
PROCESSED BY : DOMITROVICH, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
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