1992, 04-17 Permit: 92002642 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 correctand authorize Smm County to proceed with processing. In addition, I have reanu understandm 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= 92002642 ISSUED PERMIT DATE= 04/17/92 PAGE= Oi
**************************** PERMIT INFORMATION ****************************
SITE STREET- ii326 E 30TH AVE PARCELO= 28543-4913
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE-ROOF
PLAT4= 001393 PLAT NAME= KOKOMO TOWN%ITE
BLOCK= 49 LGT= 6 ZONE= UR-3.5 DI%T0=
AREA= 00000800 F/A= F WIDTH= DEPTH= R/W= 70
0 OF BLDG%= 0 DWELLINGS= i WATER DIST =
OWNER= WEBB CALVIN L PHONE= 509 926 8605
1
STREET= ii32" E 30TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= %EAR%/DOREE PHONE NUMBER= 509 489 ii7O
BUILDING .NAME
FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
****************** ************ BUILDING PERMIT ******************** *******
CONTRACTOR= SEARS PHONE= 509 489 1170
JTREET= P O BOX 37O7
ADDRESS= SPOKANE WA 99220
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITE= OCCUP LD= BLDG HGT= STORIES=
BLDG W X D = X %Q FT= SPRINKLER= N
REQ PARKING= OHANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE %Q FT VALUATION
----------- ----- ---- ----- ---------
RE-ROOF R-3 VN 2331 .00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
------------------------- -------- ----------
RE%IDENTIAL VALUATION Y 54 .OO
ATE %URCHARE Y 4 .50
COUNTY SURCHARGE Y 9.72
******* *********************** PAYMENT %UMMARY ****************************
PAYMENT DATE RECEIPTO PAYMENT AMOUNT
04/17/92 2840 68.22
------------
TOTAL DUE= .00 TOTAL PAID= 68.22
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
--------------- ------------- ------------ _____________
BUILDING PERMIT 6G.22 6S.22 .00
------------- ------------ -----------
8.22 68.22 .00
PROCE%%ED BY • DOMITROVICri, ROBIN
PRINTED BY : DOMITROVICH, ROBIN
******************************** THANK YOU *********************************
�2� VOICE RECAP AND DISBURSEMENT VOUCHER
PAI TO
STORE NO.
STORE &�`—' 'It—C—
No. 463327
nATF V -/-q
SALESCHECK JOB I.D. NO. OR cg—
CUSTOMER'S NAME
NUMBER
WORK ORDER NO.
AMOUNT
DUE
CONTRACTOR
ALLOCATION OF EXPENSE — FOR INSTALLATION OFFICE USE
ACCOUNT
NUMBER
DIV.
NO.
ADJUSTMENT
ACCT.
ACCT.
CONTRACTOR
EXPENSE
MEMO
SELLING
u I;l; 0
9-791/ 9a o
18-50-01
8
1
— y "T, " oaa na uv�w natcu auuvc iiavc au uccii TOTAL
completed satisfactorily in accordance with the speci AMOUNT
fications furnished me.
OK TO PAY
CHECK NO.
(CONTRACTOR'S SIGNATURE)
ZZ TOTALS
(AUTHORIZED SIGNATURE)
(DATE)
14489 (See Bul. 0-187 Part II Supp. 8) REV. 3/91 SEARS FORMS MANAGEMENT
ACCOUNTING COPY
PAYING UNIT NO. qD ( 7
PAYING
UNIT NAME
(ff Different)