1991, 05-20 Permit: 91002724 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 6 ' 1. APPLICATION
OWNER OR AGENT Vv� �' DATE S ao /q
NUMBER=
.... .. :.:...:..::9Y..1`:,k..'F'':. PERMIT .... .. .. .. }. ... ..._ 1}r i!i••t.i}�':;�*:it;i.i}.,r}.}:.i!'-i.i!t.,..:3.iR.i. .. ..ir......),..:. ....1:..:.
SITE ETREET= E 27TH AVE 2744-014
SPOKANE WA 99216
RE—ROOFPERMIT USE=
PLATq= 001705 PLAT 4TH ADD
MOUNTAIN
BLOCK= LOT= 14 ZONE= AGEUB DIET4::=
... .,.. .,= 00000000
x,
i.,; ! ..
WIDTH=
i i;:r iE R T A y R m R :.
STREET= 13509 E 27TH AVE
ADDREEE= EPOKANE 1.,.,1A 99216
CONTACT ::,:'.a.:i::. RHONE
Min nINF, :.. FRONT= NA NA RIGHT= NA REAR= NA
.. .,;..:,. .,.. .,..., .,,..,,.::,.• .i.: .. .. .. . .. .. .. ..
BUILDING .... .. .... j..l. ...y..7. ..:}i }::}::}i*§4 .*i". .. .. }i'7.,.;y' ... .. ,. }r i!i'i'.
CONTRACTOR= R D WHITE GENERAL flfINTRATnR.3 PHONE= 509 '325 0709
ETREET= 4807 N WALNUT ET
:.,v..:.a r-:.:•::,....
SPOKANE WA 99205
DWELL .. BLDG HGT=
BLDG G is `- ,: .... X EQ FT= SPRINKLER= N
REO PARKING= CHANDICAP= CRITIC MAT= N
•
------------------
REEIDENTIAL VALUATION 41 , 00
COUNTY SURCHARGE 6 , 56
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PAYMENT T)ATF T4:: PAYMENT AMOUNT
................................................
TO-IAL
DUE=
TOTAL
FEHMii FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 52 , 06 52 ,06 , 00
52, 06 52 , 06
PRINTED BY : jULT.E EHATTO
:. ..:. .. .. .. .... .. .......... 1. :... .. .. ..:..'.. :::... ....,. ..,. .. THAN:.(.. i o?... .. ..3}r-Y:.....j..?. .}. P.iii':!Ck is::;!;.. ..;,:.ij-}j:{:!;..0 r}i'J}i.•n::!ti,;. ..''}r:i,:.j(.;,};.)!;.j!_
SPECIAL CONDITION CHECKLIST
Project
Address: ______ __.__._ — Project#— _ _ _ Use:
Dept: Date: Condition: !nit: Appr:
(in) (out)
Dept,of Bldgs.
----._ ___— -- Special Insp.Final Report
Hydrant( ) __--
Lock Box_ - --
Engineer's_-.-__-- _-___-__—_-- — RID/CRP
--- —
Easements -
-- Road Plans/Improvements
— — ---- Bonds _^
Planning—_.________. _—_ __ Bonds
Utilities 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 returned: ---------_._----------__--_ Received by: ._- __ _
No response from owner/contractor-plans destroyed: �M� —