1989, 10-24 Permit App: 89004276 ReroofSpokane- County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: Vo2
CITY/STATE/ZIP: Ztig_5kpAihe,-J
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER:
# OF DWELLINGS: WATER DISTRICT:
Tic) tvvi
MAILING ADDRESS: s72V E Soo/Li
PHONE: Sof
CITY/STATE/ZIP:
r
CONTACT: PHONE:
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: A1 P 7_ 1 +74 / i / P
CONTRACTOR: //CO PHONE:
MAILING ADDRESS: 11J ID
9 0
2?(.0- 35---7/3
A) // c 5 IL ZiZ/
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
01M. 41IM
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
HANDICAP: SEWER (Y/N): HYDRANT: