1991, 07-18 Permit 91004327 Re-RoofSPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
1 certify that I have examined this permit/application, state that the information contained in it and submitted by moor my agent to compile said pennit/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. l understand that the issuance of this permillappfielition and any subsequent inspection approvals or Certificates of OccupancyshalI not be construed to
give authority to violate or cancel the provisions ofns of and law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF �� ,,, _ g APPLICATION 7— O "-
OWNER OR AGENT �"' 7"'—" DATE--
PROJECT
ATE
F'ROJECT NUMBER= 91004327 ISSUED PERMIT DATE= 07li 9 9i PAGE= 01
m:xw: xvr le AaiA.�ie lrAAlr lr ie )F li•ie •ii al•Y •1r til iFflii_INFORMATION..
' I. i-
... ..
-�'�klrk)eir)Fif)eiHe#�e �f �e �F i'e i'rvi'r �E i: x it iinx
SITE STREET= 909 E BROADWAY AVE
PARCELO= J7542 -i226
ADDRESS= SPOKANE WA 99206
- PERMIT USE= RE -ROOF RESIT_iENCE
PLrATy= 001855 PLAT NAME=
OPPORTUNITY. SUB.TR.99
BLOCK= LOT=
ZONE= AG,SUB DI:STO= F"
AREA= 00000000 F/A=
F WIDTH= DEPTH= R/W=
0 OF BLDGE= i ;: DWELLINGS=
i WATER DIST =
OWNER= PASQUALE., JAN
PHONE= 509 926 869.1
STREET= 909 E BROADWAY AVE
. .ADDRESS= SPOKANE WA 99206-
. CONTACT NAME= JAN - PASQUALE - -
-.. PHONE NUMBER= 509 926 9694
BUILDING SETBACKS: FRONT= NA LEFT=
-NA RIGHT= NA REAR= NA
.Yt li..lt..ii..lE.i:'P:'R-h:jF7l'iF P:3l)F �I R'h: ft3l'�:'R Jl'Jl")l'!l'jl"Jl')l'R 34' ,�IUII_.DING
B
FF..RMTT
CONTRACTOR= OWNER
PHONE=
NEW= REMODEL=
X ADDITION= CHANGE. OP USE=
DWELL UNITS= i OCCUPLD=BLDG
HGT= STORTE;=
BLDG W X..D = X Sri FT -SPRINKLER=
N
REQ PARKING= .`HAiJDTCr^I F'=
CRTTTCAL MAT= N
DESCRIPTION GROUP TYPE
----------- ---- -- -----
SQ FT VALUATION-
--- -- - - - - — -: ---
RE --ROOF R-3 VN
0
ITEM DESCRIPTION
QUANTITY FEE AMOUNT
-------------------------
RESIDENTIAL VALUATION
-------- - ----------
'r 63.00
STATE: SURCHARGE..5",
COUNTY SURCHARGE
Y
lr9l AirAAri ii ii llti di'ii drA AArl rl li li llA ll riA A.:u..ii .li.A
PAYMENT SUMMARY
( �1 ^ „ .. ... .. .. .. .. ..
'R'R'T."!l'9L'RT.A fh)F•R'A'R'R'R.'R..R..li'A"h'Jt'tt"!t )l lk'R"!l'!l'
PAYMENT- DATE-REC,EIPTx PAYMENT AMOUNT
0708/0 4941 77458
TOTAL DUE= ;L,o TOTAL PAID= 77.58
PERMIT TYPE_ FEE AMOUNT AKOUNT PAID AMOUNT OWING
--------------- -------------------- ----
-------•----------
BUILDING PERMIT 77..58 r -7.52 .00
------------
77.58 7758
PROCESSED BY: JULIE SHrATTO
PRINTED BY: JULIE SHATTO
91 M)i8i"iE li 3l'Li RYl P:T:'A d�iA AAhY414 'RAPT fti ll Yi til Ak AAPi THANK YOU h•ii li 9l'A-0i'All')t'H"R'Yt'It'h"Il"1l'bi'h"IG:II'$'S"R'iti A'Ol'h Y: N: BI It"A"Il