1989, 07-25 Permit App: 89002412 Reroofti,wj
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Spokane County
DEPARTMENT. OF BUILDING & SAFETY
A Division of Public Works
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: / 9/& c /6/arcC,>
CITY/STATE/ZIP: j,QQe(QiZ (0a- 9;2°2/‘,.
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: $ OF DWELLINGS: WATER DISTRICT:
OWNER: je j" h y 4-0111e0/ &LS PHONE : S� 9 - %Z - d 7/y
HAILING
/y
HAILING ADDRESS: /cP-//2 t2- ojacc e
CITY/STATE/ZIP: 7� ((p h P et)°,
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:
BUILDING DIMENSIONS:
REQUIRED PARKING:
STORIES:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT: