1992, 07-17 Permit 92005421 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 APPLICATION
OWNER OR AGENT DATE
PROJECT NUMBER= 9200542/
ISSUED PERMIT DATE= 07/ 1 7/92 PAGE= 01
###.k## PERMIT INFORMATION
SITE STREET= 11704 E BROADWAY AVE PARCEL; = 45164,0115
ADDRESS= SPOKANE. WA 99206
PERMIT USE= RE —ROOF
FLAT4== 001852 PLAT NAME= OPPORTUNITY{TFk.,1-142INC4143-35
BLOCK= 87 LOT= ZONE= AGRI DISTO= F
AREA= F/A= F WIDTH= DEPTH= R/W=
;r OF BLDGS= 1 4 D'v.EL_L_INGS= 1 WATER DIS T =
OWNER= ELAINEY, LAITH PHONE= 509 928 3821
STREET== 11704 E BROADWAY AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= SEARS PHONE NUMBER= 509 482 3685
BUILDING SETBACKS: FRONT= N/A LEFT= N/A RIGHT= N/A REAR= N/A
*:**a:b:**.*.ri###ik####Ira##*######### BUILDING PERMIT ***###xx#rr')e********###3ra: :rt .h.#.a.
CONTRACTOR= ,SEARS PHONE= 509 489 1170
STREET= P 0 BOX 3707
ADDRESS= SPOKANE WA 99220
NEW= REMODEL= X ADDITION== CHANGE OF USE=
:)WELL UNITS= OCCUP, LD= BL_DG HG T = STORIES=
BL..DG W X D = X SO FT= SPRINKLER= N
RE(' PARKING= ; HANDICAP= CRITICAL MAT= N
DESCRIPTION GROUP TYPE S.? FT VALUATION
RE --ROOF R-3 V'N 2709.00
ITEM DESCRIPTION QUANTITY FEE AMOUNT
RESIDENTIAL VALUATION Y 54.00
STATE SURCHARGE Y 4,50
RESIDENTIAL SURCHARGE Y 9.72
#fii### z##::rt# u ####3i#ji##### k###..R.### PAYMENT SUMMARY #R'*#*#####N:#'# 'h: 7t..A..11it'#####YF####
PAYMENT DATE RECEIPT PAYMENT AMOUNT
07/17/92 5639 68,22
------- TOTAL DUE= ,00 TOTAL PAID=68,22
PERMIT TYPE FEE AMOUNT AMOUNT PAID AMR NT OWING
BUILDING PERMIT 68,22 68,2. ,00
.•_i8,22 66.,22 00
kOGESEED BY: DOMI. T RO1;.ICH. ROBIN
PRINTED BY: DoMITRO'VI%H, ROBIN
>eu:iF:n:##ii 3i **##ir * *r:a: #.H..h. ri. yt..y;.#z#ye#ir#ir h: THANK you
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