1994, 06-22 Permit App: 94005766 Reroofa
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS:
CITY/STATE/ZIP:_
SUBDIVISION:
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BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: . F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER:
t OF DWELLINGS: WATER DISTRICT:
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MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: CAI /ify.64
SETBACKS: - FRONT:LEFT:. RIGHT: REAR:
PERMIT USE: Pg Rab-t9-32D,a
PHONE:
IMMO
PHONE: 5 - TZ.4- a T7
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: %c.). S £ W J,vMI t2 3 k LJ
CONTRACTOR: L e- C. m e y -2. ►^s h r . PHONE: S 424, 4, _ o Z _4
MAILING ADDRESS: -5 . `i Z 1 g
ARCHITECT/ENGINEER:
MAILING ADDRESS:
PHONE:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
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