1991, 06-13 Permit: 91003317 ReroofSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)456-3675
1 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
Project
Address
Dept:
Date:
Dept. of Bidgs.
Engineer's
Planning—
Utilities----
Other-----
THIS
lanning Utilities_Other._THIS SP/
SPECIAL CONDITION CHECKLIST
Project #
Condition:
Special Insp. Final Report
Hydrant ( )
Lock Box
RID/CRP —
Easements_
Road Plans/Improvements
Bonds
I
Bonds —
Double Plumbing
ULID
i
OR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONI
Appr:
(out)
Date received for C/O processing: _— ——_ _ Plans pulled for final processing:—
Temporary C/O issued:_--------. Certificate of Occupancy issued:-----
Office
ssued: — --
Office file review by: __.__. _— _-- _ — Date: —— —
Filed insp fin aled Date: ---—
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans:
Plans returned:.. ---
No response from owner/contractor - plans destroyed:
Date:
Received by: ___—
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. East 10713 - 26th LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK SUBDI ISION PARCEL NUMBER/S
2.
OWNER PHONE
3. Ted Hanks 928-1910
ADDRESS
ZIP
Actual Set Backs in Feet
East 10713 - 26th
North south
East west
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
I Roofing & Supply Co
535-1566
4
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered -
East 5528 Sprague Ave.
99212
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
J.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE 1:1 NEW E) ALT. El AWN. ❑ RPL.
1-1MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7. OF
%LI OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H.
❑ POOL
CERTIFICATE
Req'd. Rec'd. Not Req'd.
WORK
repair
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
8. reroof house/garage/patio
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
UTILOITIES
Public 1:1 Private ❑
67/14
Single $
hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS I Plumbing _
DATE OF APPLICATION / SIGNATURE OF APPLICA Mech. _
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check _
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
SEPA
Mobile Home
Other (Specify)
TOTAL $ R7- 1 A
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL