1991, 08-07 Permit: 91004812 Extend Roof SPOKANE COUNTY DEPART OF BUILDINGS
W. 1303 BROADW NUE
SPOKANE, WASHIN 99260
(509)456-3
I certify that I have examined this permit/application,state that the information contained ih 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,oras a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION /( ,_ 7 / 9 ci /
Q
OWNER OR AGENT DATE G'7v z J
PROJECT NUMBER- 91004812 ISSUED PERMIT i DATE.::: 08/07/91 PAGE= 01
•i+:.+:.P..i,..P.•P:•jt..ir.:N.:A*.A:*•N*.r-.+::„,.P..ir.:t,;:,•::p;•p;dt:::-+;:: :.,. T. .,., _. _ *********3*******************
n i s L:f:.?'t.!`'i... ; �.C• ..t.i'1:I"1 I�•i .?. .!!'a
SITE STREET= 1 ft:j6 F 6TH AVE PARCEL:;,..... 24542-9036
ADDRESS=:.=- b'F FiA1?Ai...?::. WA 99037
PERMIT t.!,,r. :::: EXTEND ROOF OF RESIDENCE
BLOCK=PLAT0= 002750 PLAT NAME= VERA
LOT- ZONE= UR 3,5 • . T s..... F
rift.:.lt..:: F/A=- I:: WIDTH=
1 _ 0 L .
EP . = 6400 R/W= 40
„ ' ?l ? : � _ : DWELLINGS= � WATER _ . 3 ! :
aN. ii S, ;BERT !..HONE.... 0 , `:>)1 '1 .
STREET= 'i...; ?L:) 1::: .4.1..{-.i A V I..:
r^t(:jDRESS:::: 'b'ERADAL.E WA 990
CONTACT NAME.... BERT MORRIS PHONE NUMBER= 509 ?:._ , 9149
BUILDING SETBACKS : FRONT=? NA LEEf: NA RIGHT=rHT:::: i A REAR= NA
***********:)*******************:k BuILDING !-`::.R"i ?. ; :*** *****************1*****
CONTRACTOR= OWNER PHONE_.:
NEW=W REMODEL= D+; ADDITION= CHANGE I)f- USE=
DWELL ►.?i~ :i:'a' ':::: .I O(::(:'I_!P:. LD= BLDG 1"i i.,i.... STORIES=
BLDG W :S; Ti :.. :•; `'(;i f' (::= SPRINKLER= !`?
REQ PARKING=I.NG• 41-1Ai' 1:CAi':••: CRITICAL MAT= N
DESCRIPTION GROUP I :•,:...,E t VALUATION
REMODEL R-3 VN 1500. 00
ITEM )E `( Ri _ [ ryN QUANTITY - "E AMOUNT
---
RESIDENTIAL VALUATION 'r' 35 .00
STATE SURCHARGE E r' 4.50COUNTY SURCHARGE Y . .:•",t.+
.+:•i+:a+:*n;:A;.r::n:;6*.c n:•i+:.+i•iG•i+:*.+:-i{iR*h..ii..i(*•ii•.k•i+:•r:•ik•!+: t'(-Y Y 1.:. i ,::t.!f'?I'9 Fi.-'.:x t •n:•>':n:.n..n:***ie*u:-•ie** i+;•'n:n:***•n: u:v:
PAYMENT D` T � RElEI ( 1 xPAYMENTAMOUNT
08/07/91 5405 45. 10
TOTAL t.:tl... DUE.=:: :.00 TOTAL? rtl... 1'AID= 45. 10
PERMIT " Y ' f : AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 45 .: 'i0 45 . 10 ..00
4!'.5 . 1t=s 45, i 0 .00
PROCESSED BY : ...!I..tH;a LARSON
PRINTED DY : JOHN LARSON
*)k************************ **** THANK y o u ...:Ar....-j....•.N-Pr...Pr....r j+i.Hr..•bi 7r:•Pr 31••P:•i.-Pi'P:.'H-'.
SPECIAL CONDITION CHECKLIST
Project , . •
Address: Project# Use:
Dept: Date: Condition: Init: Appr:
(in) (out)
Dept.of Bldgs.
Special Insp.Final Report
— Hydrant( )
Lock Box
. . . . .
• • •
•
Engineer's RID/CRP
Easements
. • .
Road Plans/Improvements
Bonds,
... • : • .
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• .
Planning : • • ••Bonds •
•
• •. . • •
•
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• •
•
Utilities • Double Plumbing
•
ULID
• •
•
•
Other
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. . . ., • ..
• . • •.
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• •
***"*******************—******THISSPACE FOR COMMERCIAL PLANS TRACKING,CERTIFICATE OF OCCUPANCY ONLY**********************.********
Date received for C/O processing: Plans pulled for final processing:
Temporary C/O 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: Received by:
No response from owner/contractor-plans destroyed: