1991, 10-03 Permit: 91006469 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 APPLICATION
OWNER OR AGENT DATE
PROJECT tU' ? rr9.1006469 ISSUED
L;i::.1•,°I`• ; ?,c•°; ; c;::.. 10/62:;191 PAGE= 01
ji•3i::1..9L Nt•}!*•}!r•}Y•}!r*****iy. f..1f;*K:!r**K i!i..},:*1t. PERMIT IN••1 1 t:1't A i i O N }!. F..F.*3i"4 J )?"I?-*J?-)f:IS-I}.ji.}!-Jh;!};!!• >-Sr:t!•)F)1•)!•Ir (•1!F
SITE
STREET= , t .-i, "'(ilt.CE I t! 33543-0806
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE—ROOF RESIDENCE
.':
AT:": !'!171?'l t:l••y fij t"i .. ; i''3'F'-` f.:! ti 1
:.:t tt1.t': 4 i...0 T o LONE= 1..!R 1J.S7•0
AREA= F/A= i' WIDTH=i•4:::: ;i0 DEPTH=H= ! •} R/W=
C OF i" ...I. ,11..Y,.i_. .,.• DWELLINGS= .I WATER DIET ....
OWNER= KOSCHALK , EDWARD PHUNL= 9253
STREET= 11214 E 34TH AVE
ADDRESS= ,... ..?I'-.AN :. WA 99206
CONTACT NAME= INSTALLATION !....?N i::. NUMBER= 509 489 ..
....
BUILDING SETBACKS : FRONT=t t r.N I'
! _ ::: (;I!.:! LEFT=._ 1•s s"•; RIGHT= NA REAR= NA
BUILDING .
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ADDRESS= SPOKANE._....NE WA. :92
NE!:_:::: RF: i"i :c:'::L..= v. ADDITION=N= 1.:HANGE t)1'• U'.E`.
DWELL UNITS= 1.?I.I.tit.: LD:::: BLDG HGT= i;'j - "t::', ..
BLDG !ti .. !.: "... :, EQ FT= SPRINKLER= i
, PARKING= ...:,
�';1':.I.:: !.:(.:.2'!3[ t h!! .,�.�•f'.:N D.i.i.,(.:j P:::' CRITICAL MAT=
DESCRIPTION i_YRt.if.? TYPE ,::,_ ....}. VALUATION
!::._ ,.iii l,.. R-3... ,!!•. 2493„00
ITEM iv.i•.iDESCRIPTION QUANTITY • 't
RESIDENTIAL jSURCHARGE
VALUATION i :?�$ : t:}!.:�
STATE
COUNTY SURCHARGE „ 64
:„ ?d : r * ;*o- ?l : *•I ? i s ,a 1a I P: yY Y Sp( Y '1: ' SUMMARY 3a * : :: *: *** f . (*. : **a ** S*
PAYMENT DATE t•t t•"I I 1 PAYMENT .. t i..
10/03/91 7263 67. 14
, ,, i }.:,L.. "t1 ,00 TOTAL PAID= 67.. 14
PERMIT TYPE , ::.::. AMOUNT AMOUNT ;.:,r••1Ii AMOUNT OWING
BUILDING PERMIT 67„ 14 67„ 14 „00
67 , 14 ... . .. '14 .00
PROCESSED BY :
: ,:EN,., .. GLORIA
PRINTED BY : WEN1,1EL! GLORIA
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