1991, 04-11 Permit 91001759 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. 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 �,� C/ APPLICATION ,/
OWNER OR AGENT i�� ?�" �/ ti' �"cri-crt i�'�-G�� DATE T �/� �/
PROJECT NUMBER= 91001759 ISSUED PERMIT DATE= 04/11/91 PAGE= 01
*c*h:•k***fl******l*:A..**3H*** i$*-)i* PERMIT INFORMATION ********* **nn*****•*•uk:*s** ***
SITE STREET= 9214 E BROADWAY AVE PARCEL= 17543-0508
ADDRESS= SPOKANE WA 99206
PERMIT USE= RE ROOF RESIDENCE
PLAT:0= 001855 PLAT NAME= OPPORTUNITY SUB.TR.99
BLOCK= LOT= ZONE= AGSUB DISTO= 1...
AREA= 00000000 F/A= F WIDTH= 92 DEPTH= 220 R/W=
OF BLDGS= 1 m DWELLINGS= 1 WATER DIST =
OWNER= GUST, MRS. J. PHONE= 509 926 3473
STREET= 9214 E BROADWAY AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= MRS. J. GUST PHONE NUMBER= 509 926 3474
BUILDING SETBACKS: FRONT= NA LEFT= NA RIGHT= NA REAR= NA
****************************** BUILDING PERMIT##********tt•**.>r.tt..***********
CONTRACTOR= OWNER PHONE=
NEW= REMODEL= X ADDITION= CHANGE OF USE=
DWELL UNITE= i OCCUP. LD== BLDG HGT= STORIES=
BLDG W X D = X SQ FT= SPRINKLER= N
REQ PARKING= 0HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE SQ FT VALUATION
RE ROOF R-3 VN 3000.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 54.00
STATE SURCHARGE Y 4.50
COUNTY SURCHARGE Y 8.64
**** *• ************ *****ar***** PAYMENT SUMMARY *****k***********xttri*riK*.ittt*
PAYMENT DATE RECEIPT:; PAYMENT AMOUNT
04/11/91 1973 67.14
TOTAL DUE= .00 TOTAL PAID= 67.14
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMOUNT OWING
BUILDING PERMIT 67.14
67.14
67.14 .00
67.14 .00
PROCESSED BY: JOHN LARSON
PRINTED BY: JOHN LARSON
*****#******aeac••x•*•***•tt•tt*•tt•********* THANK YOU ** +t•ti'*••u*••u•********•*********a*RF..tt..•