1992, 08-10 Permit: 92006228 Windows, Siding • SPOKANE COUNTY DEPARTMENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOANE,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 can e 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 constructio
SIGNATURE OF !�(/ APPLICATION /d 92
OWNER OR AGENT DATEPARCEL4(�
ISSUED PERMIT
_
ADDRESE= SPOKANE WA 99212
PLAT4= 002955 PLAT NAME= WOODLAWN
OWNER= SIEGAL , GERALD M ,
ETREET= 10717 E 16TH AVE
ADDRESS= SPOKANE WA 99206
CONTACT NAME= b•, ADAMS ..
509
DWELL UNITS=BUILDING • SETBACKS : MONT= NA LEFT= NA RIGHT= NA REAR= W.:;
CONTRACTOR= OWNER
NEW= REMODEL= X CHANC,E
isBLDG HG1 =
D 4.1 SPRINKLER= N
REQ PARKING=
DESCRIPTION GROUP 'iYPE EQ FT
REMODEL 1000 , 00
ILEM , i
RESIDENTIAL VALUATION
STATE SURCHARGE
RES]:DENTIAL SURCHARGE
PAYMENT DATE REETPTO
TOTAL DUE..
PERMIT TYPE FEE AMOUNT
i
•
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