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1992, 09-23 Permit App: 92007997 Reroof• Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: ` .S411/ • 1901 STREET ADDRESS: CITY/STATE/ZIP: WOLF LAO) SUBDIVISION: BLOCK: LOT: I ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: ¢ OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: WO -144 G (7Lj4.0 bc1 O to /� PHONE: MAILING ADDRESS: Al i I/ q B e S 5/ tJ CITY/STATE/ZIP: ,i l� e c W & /c CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: %7 o fl E Sif YR..? /0.5 CONTRACTOR: /-I 0 N t cS' /t R� p CC G /! PHONE: - 722 - /4/7, MAILING ADDRESS: 4 /03/6' cat` ip s-920, y 9.2 0/ ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: