1992, 04-01 Permit: 92002060 Reroof SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE,WASHINGTON 99260
J, '
(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'p/m processing. In addition, I have oo 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= 92002060 I%%UED PERMIT DATE= 04/01 /92 PAGE- 01
******* ** ********* **** PERMIT INFORMATION ****************************
%ITE %TREET= 13622 E 27TH AVE PARCEL4= 27544-0406
ADDRESS- SPOKANE WA 99216
PERMIT U%E= RE-RGOF
PLAT4= 001705 PLAT NAME= MOUNTAIN VIEW 4TH ADD
BLOCK= 4 LOT= 6 ZONE= %FR DI%T4=
AREA= 00000000 F/A= F WIDTH= DEPTH= R/W=
4 OF BLDG%= DWELLIi WATER DIET =
OWNER= ELLENBERGER , JULIE PHONE= 5O9 535 8102
%TREET= 13622 E 27TH AVE
ADDRE% = %PGKANE WA 99216
CONTACT NAME= OWEN% ROOFING PHONE NUMBER= 509 535 8102
BUILDINF, FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
******************************* BUILDING PERMIT ********** ** ******* ****
CONTkACTGR= O EN% ROOFING PHONE= 509 458 4402
STREET= 3315 % GLENRO%E RD
ADDRE%%= %POKANE WA 99223
NEW= REMODEL= X ADDITION= CHANGE OF U%E=
DWELL UNITE- OCCUP, LD= BLDG HGT= %TORIE%=
BLDG W X D = X %Q FT= %PRINKLER= N
REQ PARKING= 4HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE %Q FT VALUATION
----------- ----- ---- ----- ---------
RE-ROOF R-3 VN 3000. 00
ITEM DE%CRIPTIGN QUANTITY FEE AMOUNT
------------------------- -------- ----------
REEIDENTIAL VALUATION 54 . 00
%TATE %URCHARGE Y 4 .50
COUNTY %URCHARGE 9.72
******************************* PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/01 /92 2259 68. 22
TOTAL DUE-DUE= .00 TOTAL PAID= 68.22
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ -------------
BUILDING PERMIT 68. 22 68. 22 . 00
------------- ------------
68, 22 68, 22 68. 22 . 00
PROCE%%ED BY : DOMITROVICH' ROBIN
PRINTED BY : DOMITRO;ICH , ROBIN
*** **************************** THANK YOU ***** **************************