1991, 03-11 Permit: 91001017 Reroof MN)
I certify that I have examined this permit/application,state that the informationcontaine:. 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 a id 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 OFAPPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 91001017 ISSUED PERMIT DATE= 07K/11 /91 PAGE= 01
******•xa *3*** ******* •*** PERMIT INFORMATION *kii•*• *•*********xir*$iaEit*li•*****
SITE STREET= 12011 E:: 3i ST AVE: PARC'E:: 28544-16'.24
ADDRESS: SPOKANE WA 99206
PERMIT USE= NEW ROOF -• RESIDENCE
PLAT@:: 00 392 PLAT NAME= SKYVIEW ACRES ADD
BLOCK= 16 LOT= 24 ZONE= UR`..3>5 I?). 3 l4 =; I..
AREA- F/A:::: P::• WIDTH= 90 DEPTH= 140 R1W=
R: OF BL.DGS= 0 DWELLINGS= i WATER DIST =
OWNER= L_E.BL_ANC, RAY PHONE=
STREET= 12011 I::: 31ST AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= BRENT PETERSON PHONE NUMBER=:: 509 922 3130
BUILDING SETBACKS : FRONT:::: NA LEFT=yt NA RIGHT= NA REAR:- NA
3 ){***it}iYikk*•7t•**9{•}t••}t•*•IIhft*••7h3ial**7t•k*•k BUILDING PERMIT riA*•ii-aa*•i>ah*b•ii•****#*k**••*•A»:**
CONTRACTOR:-• PETERSON REMODELING 509 t?:._,:_ 3130
STREET= 4i 08 < MC.'DONAL..D LN
ADDRESS::- SPOKANE WA 99216
NEW= REMODEL= X ADDITION= CHANGE OFUSE-::
DWELL UNITS= OCCUP., I...D-- BLDG FI(:YT== ST(:'R:I:I:S=::
BLDG W X D -- X SG'! FT= SPRINKLER= N
REQ. PARKING=ING:::: ,HANDICAP:::: CRITICAL MAT= i`1
DESCRIPTION GROUP •TYPE SQ FT VALUATION
REMODEL. R_..3 VN 1600,00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
REESIDE»NTIAI... VALUATION Y 4 +:.00
STATE 4SURC'IIAR GE. Y 4,50
COUNTY SURCHARGE 5,92
)i•* ri ••li•)i:a•li •§hi•kH}i*Ra••hi#k#iEa**Xiiii•*}{ PAYMENT SUMMARY h**•*•**R*R•hl•hYt•h:A:.:A:***•R•$:*i'!ili1t:k*
PAYMENT DATE RECE:[P`T e: PAYMENT AMOUNT
03/11 /91 1145 47..42
TOTAL DUE:: .00 TOTAL PAID= 47,42
PERMIT TYPE FEE:: AMOUNT AMOUNT PAID AMOUNT OWING
•
:BUILDING PERMIT 47,42 = "'.: 4"? ,0 0
47,42 47,42 „00
PROCESSED BY : WENDEL, GLORIA
PRINTED BY : WENDEL_, GLORIA
*)t•**Vit•....•k•yl••P:R•h.•hb:* • •*•A•***)r)h****** THANK You *•N:A :*****•R•}tit!t•**A.• f.•N:***P.• !•**i1Il**•A:**•A
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 Pians/improvements >i
Bonds
Planning -- • Bop.ds ._
,..
UtilitiesDouble Plumbing_—
Other_ _ — —_—_ _
•
•
•
`*******`******"*****"***""*'**THIS SPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY******************************
Date received for C/O processing: . Plans pulled for final processing:
Temporary 0/0 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: _---�__ _____--- _ T---. Received by:
No response from owner/contractor-plans destroyed: ---