1991, 07-17 Permit: 91004276 ReroofSPOKANE COUARTMENT OF BUILDINGS
I ` tW. d03 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509)656-3675
I certtitythat I have examinedthispermit/application, state that the informationcontained in it and submitted by me or my agent tocornpilesaid 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 typo of work will be complied with whether specified
herein or not l understand that theissuance of this permit/appllcationand any subsequent Inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate orcancel t rovisins of an state or local laweraser
regulating construction,warranty of conformancewiththeprovisionsof any state or local
laws regulating construction. p
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
/) To
PROJECT NUMBER= 91064276 ISSUED PERMIT DATE= 07/17/91 PAGE= 01
aiEiexxaxaaaxxaxxaaxaaaaaaieaaa PERMIT :INFORMAT,ION as#* -***** leaaie4yfax3e axieaaxriaie
SITE STREET= 10226 t! 441 H AVE PAROE:L.s ..�544{-9085
ADDRESS==,.SPOKANE WA 99206
PERMIT USE= RE -ROOF RESIDENCE
PLATO= 999999 PLAT NAME= i:ANGE
I4_OCI(=LOT= ZONE= UNI< DIST' A= E:
AREA= 00000000 Fi A:::: 1= WIDTH= DEPTH== R/W=
OF BI_DGS= 1 m DWELLINGS= i WATER DIST =
OWNER= GULDEN JEAN
STREET= 102;6.1`:1: 44TH AVE
ADDR:SS= SPOKANE WA 99206
PHONE== 509 927 9379
CONTACT NAME= JEAN GULDEN PHONE" NCIMBE:R== 509 927 9379
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA AFAR= NA •'
axx'xaxaaaxaiexaaaaa**xaaiexafeiExa BUILDING PERMIT aaaaaaaaaaaxxxx%aa**xxxuxx
CONTRACTOR= THOMPSON CONSTRUCTION
STREET= 25115 N PERRY RD
ADDRESS= COLBERT WA 99005
E= 509 276
NEW= REMODEL= X ADDITION== CI'(ANGE OF USE=
DWELL UNITS= 1 j)CCI.IP. L_D= BLDG HGI=' STORIES=
BLDG W X D= X SGS FT= SPRINKLER= N
REQ PARKING= L.HANDICAP== CRITICAL. MAT= N
DESCRIPTION GROUP TYPE SR FT VALUATION
REROe R-3 VN 2900.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 54.00
STATE SURCHARGEi. Y 4.50
tl
COUNTY SURCHARGE Y 8.64
aaeaxx-x as aaaaatta*.x..x.x..x..xa*aaaxaea** PAYMENT SUMMARY aaleie aaaaxxaaaa xaaxaaa xxxaa
PAYMENT DATE
07/17/9i
TOTAL DUE=:
PAYMENT AMOUNT
67.14
_
TOTAL PAID= _.67.14
PERMIT TYPE FEE: AMOUNT AMOUNT PAID AMOUNT OWING
BLII1_DING PERMIT 67.14 67.94 .00
PROCESSED BY. JULIE PHATTO
PRINTED BY: JQ.LIE SHATTO
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4 67.14 .00
THANK YOU xxxaaaaaxaaaxale iraaaaaaaaaxaaaaaaa
Project
Address:
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SPECIAL CONDITION CHECKLIS Y
Project #
Use'
.._.._..._...
(in)
Dept. of Bldgs.
(out)
Special Insp. Final Report
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Lock Box
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Easements
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Road Plans/Improvements
Utllitles
Bonds 114 "'
Other
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Project #
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(out)
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Lock Box
rid. ..... ,.t. 4.. n. .,1 A. }i•-.4.
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RID/CRP
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Easements
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THIS SPACE FOR COMMERCIAL PLANS TRACKING, CERTIFICATE OF OCCUPANCY ONLY
***Sig h§ " R -,N IT* Y u„tio uY•+v @+ li' ,,i `}« t ***at- ?tkv a d*
Date received for 0/0 processing:
Temporary C/O issued' Certificate of Occupancy issued'
Office file review by: Date'
Filetl insp flnaled by: Date'
Plans pulled for final processing.
Ninety days after C/O, Issuance:
Owner/contractor called regarding the return of plans: Date:
Plans returned( Received by-
No
yNo response from owner/contractor - plans destroyed'
are