1991, 10-09 Permit: 91006700 Re-RoofSPOKANE 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 orcancel the provisions of any state or local law regulating construction, oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROjECT NUMBER= `! 1!: j,: jr: `L ±._i APPLICATION
...r..,I }_.'r,.•t.T!" N DATE= -j ,r ,..:j c.: 9 • PAGE= ±':i -
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SITE STREET= i3625 }.:. 25TH t:,t:1::. I.:t:-iRC?::.?....,!._.. 27544-022
ADDRESS= SPOKANE WA 9906
PERMIT USE= RE-ROO1::-
#_,LA i :;,:= 00.} ; !:?5 PLAT . #:1A}"9E= MOUNTAIN ("t.i.N V .1.EW 4TH Aii„j
BLOCK:::: LOT= ZONE= UR -3.5 DIST#=
OF Bt 1Jt.a,::= :F' i_!!t.!EL..L.INGS= '; !,t:1t•• ::::
OWNER= Tt,!,, .: FRANK PHONE= 509 928 r.:: c:{
ADDRESS= SPOKANI::. I.J.!('i 9906
CONTACT ;'._tA„.,f_'.= INSTALLATION SETBACKS: RIGHT=
PHONE NUMBER= -” 4: i 1 i.
BUILDING =;�Ni:nFLEFT= ;(
NA REAR- j �,i {':,
BUILDING PERMIT :}±: lr •r,: -n::G: -F: -n: 'n' :JL• 'n: 'n::,r ar :u: -r{..j,::r,::r,; -i,: 'ii -'j,: 'j,: i,: # ii- -i,: •i±: 'i,:
CONTRACTOR= ,:::...F.t}'!:,: PHONE= 509 489 '} 't i ::!
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STREET= ± i 5 S„ I :t, 370-`
t-it11'!i'L°L:.SS::: :>I''a.il<.(^INE I%:A ,"Y.;`.: 0
NEW:::: ;{::.MI.i!jI::.t...:::: r''•. tYPR.}. # I.t,!rv- CHANGE OFU I::.:::
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DWELL UNITS:::: ;.!?.:?.:..!P :. __D:::: OL..?ta !..!,x 1 :::: STORIES=
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BLDG i G !.:! :<: D :::: ,.. SPRINKLER=N
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RIi1tAL MA = N
DESCRIPTION GRi•.!U#.: TYPE SQ FIF VALUATION
RE -ROOF R-3 VNNI 3074.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- .................................. ----
RESIDENTIAL VALUATION Y 63.00
STATE SURCHARGE 4.5()
COUNTY SURCHARGE ! 70. 0,fit
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PAYMENT SUMMARY •it• •Nr •Ai ?,; •h:' •h:• •Pi •Pi 'Pi 'n: i,: •P: •F: -rF •F: 'A: -P: 'P: -J4 P: k 'n: M::,lr •Jh 'F: P::�:
PAYMENT DATE ;} E REt. •EI#.:; :,i: PAYMENT A}"} t..! t„! N I
io/09/9i 7504 77.58
................................................
TOTAL DUE:::: 00 TOTAL PAID= 7708
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- — _............_ ............................ —------------ ......................— ............ — _..._....-
..
BUILDING PERMIT !` i ...:71; 77019 : 1:j i i
_ - —.... — ........._............. — _.. _. — ... ----
77.58
PROCESSED BY: WENDEL, GLORIA
PRINTED BY: iAi l::.;` DEL.. , GLORIA
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