1991, 08-05 Permit: 91004703 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
PROJECT NUMBER== 91 004703 ISSUED PERMIT DATE= 08/05/9i PAGE= 0.1
**:,1k*:a •*•xx* •**•*•*** r:•3:'*'>~' •tt**3 PERMIT 1:NFoRIMATIt.iN x**h*•*•* • •*** *•; **•*•* *** •*3:•*3•
SITE STREET= 12909 i::: 26TH AVE i=`r R?"i=.i...k-:: 27543-0312
....,' 2
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE—ROOF RESIDENCE
PL..AT4- 001223 PLAT NAME=:: HIL..i._CREST ACRES 2ND ADD
BLOCK= 6 LOT= 12 ZONE= UR•_:a< ? DIST:„::= F..
AREA= F/'F7:::: 4.. WIDTH= 100 DEPTH= 125 Ft/I4=
4 OF BL..DGS=:: 4 DWELLINGS= I WATER DIST =_:
OWNER= RAMOS, JOSEPH PHONE= 509 922 2589
STREET== 1 290 E 26TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= INSTALLATION PHONE NUMBER= 509 489 1170
BUILDING SETBACKS : FRONT= NA LEFT= NA R.I.GHT:::: NA REAR= NA
.yt..R•ua*•x7t•x•**•tt•;t :•n•***•ttai**.. ...•tt*'h3ix•x*• BUILDING F'E::RISSI•T ******* :***x•h•u* • ••A•kN:*** • .• :x'*
CONTRACTOR= SEARS' PHONE==: 509 4R ' 1170
STREET=T P fl .BOX 3707
ADDRESS= SPOKANE WA 99220
NEW= REMODEL= X ADDITION=:: CHANGE OF I..ISE::::
DWELL UNITE= OCCUP,t.1F'x i...D:::: BLDG HGT= STORIES=
Ii.-S:::=
BLDG W X D = X EQ FT= SPRINKLER= N
REO PARKING= OHANDICAP= CRITICAL_ MA'T:::: N
DESCRIPTION GROUP TYPE Sc FT VALUATION
RE-ROOF R_.•3 VN 3399,00
ITEM DESCRIPTION QUANTITY ITY FEE AMOUNT
RESIDENTIAL VALUATION 'V 63.00
STATE SURCHARGE 'r' 4,50
COUNTY SURCHARGE Y 10.08
SUMMARY i :,'h: :•*****p:•it.*.R.*....ri....:n•••r.•....*:rt..y,..k.:N.:ri.*
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PAYMENT DATE RECE:PT:y: PAYMENT AMOUNT
08/05/9i 5309 77,58
TOITAL.. DUE= <00 TOTAL AL i AID::- 77,58
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 77,58 77,58 .00
58 77 ,58 „00
PROCESSED BY : WENI?'i:::i..., GLORIA
PRINTED BY : WENDEi»., GLORIA
}f}L..N.:H**.N:R••b:•A:•N.•: P::P:*:N:b:•!l•*•A'*it****•**'* ** THANK •t•...i.• *•b:*P:'P:**jl* •if P:P:*M••P:*9t.*•P:•P:•P:**•N.••P:•F.••R•*•R•'A:*•h:
SPECIAL CONDITION CHECKLIST
Project
Address: -._._______ Project#___-__ Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept.of Bldgs. -----_._.__--
____.___. Special Insp. Fina!Report _._--
Hydrant( )
Lock Box
Engineer's RID/CRP — _-- —�� _ —_—
Easements
Road Plansiireproj4ements
Bonds
-
Planning i•
Bons
•
Utilities _____._ _ Double Plumbing-____--
ULlD_ ..
Other —
—*—*•**THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OEOCCUPANCY ONLY* """*** *°**'*"*****—