1991, 09-09 Permit: 91005634 Reroof SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(509)456-3675
Icertify that Ihave examined this permit/gip• 'cation,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 • my to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agre: •comply with same.Al ov'sions of laws and ordinances governing this type of work will be complied with whether specified
herein or not.I understand that th suance of this permit/ plical•n and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcancei',- •rovisions of any sta orloc. w re•ulating construction,or as a warranty of conformance with the provisions of any state or local
laws regulating constructio41141
/
SIGNATURE OF ch 4 /° APPLICATION q /
OWNER OR AGENT / DATE '�/_
PROJECT NUMBER=,..R= 97 ti _'i PERMIT I .- 09/' PAGE= 01
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SITE STREET= 11220 E 21ET AVE PARCEL-4= 28542-3115
PENMI'l USE= RE ROOF RESIDENCE
PLATO= 00-1393 PLAT NAME= KOKOMO TOWNSITE
BLOCK= 15 LOT=
WATERAREA= 00000000 F/A= F WIDTH= DEPTH= 7,D
OWNER= VOGEL , WILLIAM & JOHANNA PHONE= 6'29 (
STREET= 11220 E 21ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= WILLIAM VOGEL
PHONE NUMBER=
09 924 6297
B ! t i?.I.t`�G ,.:j.:ti K;} : 1'�'y ... `: I._r.._ ... NARIGHT= NAr:?;::!.
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t:t]H i PA. t t,1i''.:::: OWNER R i-Hi..Fs`fI::...
SPRINKLER=NEW= REMODEL= X
OHANDICAP= CRITICAL MAT= N
DESCRIPTION isRi.tE}t.: TYPE i:! ET VALUATION
RE ROOF R-3 VN 1500 , 00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION
35 ,00
STATE SURCHARGE 4 , 50
COUNTY SURCHARGE
********* ***** ********)c** pAymENT ... ....'j 4"�f::i 1';•'. ....: 1.....1. ....:...J....... .. 3. .. 1.:..... .. ..
is
................................................
TOTAL ii1 . ,00 TOTAL!
45 , 10
PERMIT ' f tE..E..l.. AMOUNT AMOUNT PAID AMOUNT OWING
BU.i.1....D.3.I.NG PERMIT 45, 10 45 10
45, 10 45 , 10 .. 00
P R i I 1.'t"E P' ,: :`S• I i 11' N LARSON
PRINTED BY :• .I i..i f-N I..A! S O N
!.. 1! !-. A !'. P.P.1+.1'.1-.1!.9;..jtr.jr:•Pr'Pi•Pi•Ni:ni-li.:ni.pr*-hi-/k in;.j(. THANK ` i„i I,_i ')4•14'1!i•Pi•3ti:}i•:1!i* !i i!(..j(i:..'p.;u:.1F•Vie; i..iti ini-j!i•j!i-ib 7:.:,;.:?;.:,,: :,y.:;.