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: