1991, 04-22 Permiit: 91001986 Reroof SPOKANE COUN 'ARTMENT OF BUILDINGS
W. \DWAY AVENUE
SPOKA".._, rrr..3HINGTON 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
F'RO I .t , NUMBER= 91001986 ISSUED PERMIT DATE= 04/22/91 GG::. 01
')C''**'P:i=:'R:')C'P.''H:':t:'Jf:...•i'......il..P.**1?'•i .i*i=::n:'P:i=: F'E R i`'1:i:+i' :i:N E C:R'.N A..i .1.!fN :»:.},..}t..}_.....•...j=:•. P:.1=:*;n•#'**•.•..........P:'H•P:: *i=: :!!:
SITE STREET= 11404 F. 19TH AVE i.;Ai":C::!::.1...:l:.::: 2.854:1.._2403
ADDRESS=" ,.:•P'.if<AN1:. WA 99206
PERMIT USE= RE—ROOF !'".i::.>.:•.i.}_ti::.!''vl.:E
PLATO= t i::'t .,` .'i PLAT NAME= K;..i<'%i f O ..z.is%,,i i~ ,' - .
BLOCK= LOT=i a = :' i tNi •• UR-3.5 t.i. •. {..
AREA= I.. ;f..t:::: t.. {hi(j,}Ti..i:::: Di::.:: t i..i= 140 t•i','`Lai:::: 70.... DIET•,t• BLDGS= 0 .. lei::.i...i....i.. x,::........ WATER z::. t. ! ....
OWNER= t..ii ii.rt:.!'?HAUi J KEITH Pi'i}.lr'•r::.:::: 509 928 5993
i 1",1::.1::.1 :::: 11404 I::. 19TH f"i•lt E
ADDRESS= Si"OKAN,--• W(4 99206
CONTACT AC•! NAME=: DAN t.:`i'-!AMBi::.R:jPHONE NUMBER= 5 j, 747 7335
BUILDING SETBACKS : FRONT= ' Ai LEI-.y '- NA RIGHT= NA REAR= NA
t:*3r.n:*.tt.:!:•P:*•r•:}t•tt•a=:•P:•P:it.u..)t..ty.t,:.J,:.tt.p,a;.a,..r.pi•i':•h:-t=i•P: A i i.J i.!...i1 I!''•!i..Y :'#:.i"•'i"!.i. { .)t..x.:n:n••P:•h:•a!;***•P:*•}r.•3t•*'}i::R:*:t..)t•:t•P:*:t.•h.•}i:•n::!_:
CONTRACTOR= EXTERIOR Di::.:'?.i.isN PHONE= 509 747 7335
STREET= -i '•f•! i• j,f`:i i..E :t l...'+J•,
ADDRESS= SPOKANE WA 99203
..
NEW= REMODEL= A. ADDITION= CHANGE OF USE=
DWELL UNITE= } } . t ` : _ ;: BLDG hs r
W .k, i i..iRt.;:..,.._ ..
BLDG IA! X, : = .i. SQ FT= SPRINKLER=
#"•:i.:.lr' PARKING= .tr!!t•i{•17,;.1.C 1.`t i-':::: CRITICAL 1!Ai
DESCRIPTION GROUP TYPE SQ FT VALUATION
REMODEL R-3 VN 1760,00
ITEM DESCRIPTION QUANTITY C'C:.E AMOUNT
RESIDENTIAL VALUATION
41 .00
4 ,50
COUNTY SURCHARGE i 6,56
. ........ .......................... ........................ ::...,:NEN••.• :,,,N;:: A,: .: ............ ........
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PAYMENT DATE RECEIPT4 PAYMENT AMOUNT
04/22/91 2226 5:2.06
PERMIT TYPE FEE AMOUNT# F!!"iO }N # PAID •,Mt,_!UN . OWING
BUILDING G 1:;EF. ' . ! 52_ 06 52..06 A00
c::..
PROCESSED BY : WENDEL , GLORIA
PRINTED :i i : AiENDE!...; GLORIA
* L jPP ;i ( j: yj :9 a :: * ( jjjr ( jjj4R THANK y *.j,.i - ji Ph :A .:: ... : . C. C.y .... .} . .A
SPECIAL CONDITION CHECKLIST
Project
Address: -----------------------_—__-- —._._-- __Project#_ —_---Use.---- ---__-�_
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept, of Bldgs.
________ _------____-- ---_.___-- Special Insp,Final Report------------___-_
Hydrant( ) -----_. .--- __ __.__ __
------ ______ — — Lock Box — — — — -------------
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Engineer's__.___ -- RID/CRP
Easements__— —_-- �_ --- ------
_.___-___.___ Road Plans/Improvements
Bonds_._ -----____--
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•
Planning. -- : Bonds_ • M________--
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•
Utilities_.______.__._— ___ Double Plumbing
— w— ULID — -- — — •
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•
Other--------_._-___ _—_ _ —. — ----
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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 tile review by: _--_._._-- _._..._._._-- ----..._ -- Date:._ ___-------_—____.--
Filed insp finaled by: ____ Date:
Ninety days after CIO issuance:
Owner/contractor called regarding the return of plans: ___________ _.__-- Date:_______._ ____._ _.____._
Received by:—_ _______________
No response from owner;contractor-plans destroyed:___