1991, 04-04 Permit: 91001583 Reroof SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
(5p9)456-3G75
I certifym I have examinedmm permit/application, information ined iit and submitted»v me or my agentm compile said permit/application is tru
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
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PROJECT NUMBER= 9iOOY.:3G3 I%SED PERXlT DATE= 04/04/91 PAGE= Oi
**************************** PERMIT INFORMATION ************************* **
SITE %TREET= i0915 E 27TH AVE PARCEL�= 28543-35iO
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE-ROOF RESIDENCE
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PLA 4= 001393 PLAT NAME= KOKOMOTOWN%ITE •
BLOCK= LOT= ZONE= UR-3', 5 DIJT4=
F/A= F WIDTH= DEPTH= P/Ld=
BL :;;: 1.)W t-. i WATER DI%T = �
OWNER= HE%KETT, ROGER PHONE= 509 920 4464
10915 E 27TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= DAN CHAMBERS PHONE NUMBER= 504 747 735 .
BUILDING SETBACKS : FRONT= NA LEFT= NA RIGHT= NA REAP= NA .
*******************�*********** BUILDING PERMIT ******** ********************
CONTRACTOR= EXTERIOR DE��GN PHONE= 509 747' T335
STREET= -1816 EMAPLBLV
ADDRESS= SPOKANE WA 99203
NEW= REMODEL- X ADDITION= CHANGE OF USE=
DWELL UNITE= OCCU = BLDG %TORIE%=
{ BLDG W X D = X FT= %PRINKLER= N
REQ PARKING= 4HANDQICAP= CRITICAL MAT= N
DE%CRIPTION GROUP TYPE %Q FT ' NALUATION
----------- ----- ---- ----- --------- |
REMODEL R-3 VN 640O .0O |-
ITFM DE%CRIPTION QUANTITY FEF AMOUNT
------------------------- --------
RESIDENTIAL VALUATION VA ATION Y 90.00
STATE SURCHARGE Y 4 .50
COUNTY HARGE Y 14 , 40
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******************************* PAYMENT %uMMARY *************** ************
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PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/04/91 1799 - iO8 . 9O
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TOTAL DUE= .00 TOTAL PAID= 108 .90
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PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------BUILDING PERMIT PERMIT 108. 90 108.90 - .08
------------- ------------ -------------
108,90 1O8 9O .00
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PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL' GLORIA
******************************** THANK YOU *********************************
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SPECIAL CONDITION CHECKLIST
Project
Address: ____________---____-- Project#-______.___---_ --- — Use: _-- _
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept. of Bldgs.
Special Insp.Final Report
-____— Hydrant(
-------_�..� �. Lock Box
Engineer's___.-._-__— — — RID/CRP .------_M_____-- —.___-------- -------__-_-- -------._-_..
-------____-- __-- Easements_._—. ___----_-___----
Road Plans/Improvements_-- —_
___________ Bonds —
Planning Bonds--
Utilities_._.____.N..___..__ Double Plumbing
ULID
Other — — — —
"'"' THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY"""""""''."'`"""'"'
Date received for C/O processing: _____ Plans pulled for final processing
Temporary C/O issued:__._.- _.-._-________—__.__.___— —___—._.Certificate of Occupancy issued:
Office file review by: —_ ._ Date:
Filed insp finaled by:. Date:
Ninety days after C/O issuance:
Owner/contractor called regarding the return of plans: _____ —.___. Date: _
Plans Received by:
No response from owner/contractor-plans destroyed:______ _ — �__