1992, 07-01 Permit: 92004927 Re-RoofSPOKANE 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. 1 understand that the issuance of this . i p .' tion and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel th - provisions of : ny state ;4cal law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
OWNER OR AGENT
SIGNATURE OF APPLICATION
DATE / f�
PROJECT NUMBER= 92004927
ISSUED PERMIT
DATE= 07/01/92 7::•Ar;::.=- c 1
. 7k it h• )t )t 9t 7?' 4t )i- * 7C ik 7t -li' lk ll' PERMIT INFORMATION * 'Y.' '1L' li' * )t * )?' )t. *:){. )(. Jr..J>' )G- Y' l!- •St..Y!.:Jt- il- fe: jt• •)?' * •lk ?!' ')!-
SITE STREET= ('= .480 v i::ARF: F;.'I)
ADDRESS= t P(.lK{`tNE WA 99206
PERMIT USE= Rl::F;O(:;p::- RESIDENCE
$:: Lr -1'T' ..... crt>)li)fi {>-'•. PLAT NAME= RANGEBLOCK=fl LOT= ZONE= SR -1 .D T ,'s 'i' ": =
AREA=:: 00000001 f=/A= A L. i ?.�..(.i.,:::: DEPTH=1
#_ (3F- I:{#...I)Cr" _' DWELLINGS= >=:: - •i WATER DIET ::::
PARCELO= 44052.9089
OWNER= :tiAiaDAfE_fa'(x. HARLEM D. i=`I-(:lNi::::::: 5()9 926 1:38:'
STREET= 4802 S FARR RD
ADDRESS= SPOKANE (4A 99206
CONTACT NAME= HARLEM I.'ANDBE::F:(; PHONE i'•!i_Ji'iBEER= . ;9 `y cY{`) 1882
+
BUILDING SETBACKS: FRONT= NA LEFT= NARIGHT= NAA REAR= NA
* )+:- =Y: * til• .. ..til' ti•:' )i' til' •) 3• ')l' * .)l' 'P: )l' ).: 'x' ti+: » )t: )i• ....j(' •x' * )i' : t...). L.. {l J. NG F-' E :. F'i • :p: (' )i' )i- -x- is ni *-x..u... 'h:......R.:n: 3t..* * * * * h:' * 'x' )i' ]l' ')i )i' *
CONTRACTOR= OWNER PHONE=
NEW=
DWELL UNITS= 1
BLDG W ( I) ::_
FEo PARKING=
:s
S Q FT=
O i..p A N D.ECA I-''::::
ADDITION= X CHANGE OF USE
BLDG F•#(:; T-:::: STORIES=
SPRINKLER= p1
CFti:E'T':i:(;f')L. MAT= N
DESCRIPTION GROUP TYPE R i- i SO FT VALUATION
Ri::F;OOF R-3 ::3 VN 3000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION `r'
>
3.:i
STATE SURCHARGE r
4.50
RESIDENTIAL SURCHARGE (tp=: `r 9
.72
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F' ra `r' i`•I E:- i`�! T ..> tJ i~; � •i +:�� Fi r x )l' )l h ).; 'ii 3i' N- -x' )t' )i' x' )l' )e )r, it x' * )t' 'x' )i' x- )l :,:r. )i' p: x
PAYMENT DATE I p:: r EFL F: T .pp. PAYMENT
07/01/92 5.1 2. 68.22
TOTAL.. DUE:— .00 TOTAL ITr•1L F'AID= 68.22
PERMIT TYPE FEE:: AMOUNT- AMOUNT PAID AM(:1t.JNT CiW:p:t1(`,
BUILDING PERMIT .+) is . , ., 68.22 .00
68.22 22 .00
PROCESSED BY: ..-JOHN LARSON
PRINTED B r . ,.JOHN I...AF.'. f)N
********************************THANK ., r'
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