1992, 03-19 Permit: 92001667 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
ADDRESS= EPOKANE WA 92G6
FLAT = 00:i222 AT ACRE I
LOT= 7 ZONE= UNK
AREA= G0000000 DEPTH=
OWNER.:, MOORE : DON PHOME=
STREET= 12207 E Y2TH AVE
ADDRESS= SPOKANE WA 9920 .,
BUILDINO S'ETBACKE FRONT= NSA LEFT= N/A RT.C.:,HT:K NSA PEAR:,
CONTRACTOR= OWENS ROOFINO PHONE= '50';': 456
STREET GLFNROSE
ADDRESS= SPOKANE WA 9922.:•.',
DwELLDESCRIPTION TYPE F"':" VALUATTO
ITEM DESCRIPTION FEE AmaiN7
STATE SURCHARGE
COUNTY SURCHARGE
TOTAL DUE,,, , 00 TOTAL PAID=
FEE AMOUNT AMOUNT PAID Ae'MHNT
BUILDINO PERMIT 6 , 22
PRINTED BY : DOMITROVIOH; ROBIN
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