1992, 09-29 Permit App: 92008195 ReroofSpokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: L' / 3 3 0 y 32 o ss 67,
CITY/STATE/ZIP: SPO (C4-4/6
SUBDIVISION: �.-tTcuL 2e€J
BLOCK: 17 LOT: 4 ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS:
OWNER: 7J l3eRT' SC -Ai -t t d r
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
WATER DISTRICT:
PHONE:
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: reg., 2,o O
nas
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: gga go'
r gats -
CONTRACTOR: 'Pial ?oaf T%JC _ PHONE: Io'j -Z- .TSI
MAILING ADDRESS: A/ ,/pcaas C
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: 1 HANDICAP: SPRINKLERED: CRITICAL MATERIAL: