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1996, 04-18 Permit App: 96001920 Reroof
Spokane County. DEPARTMENT OF BUILDING & SAFE West 1303 Broadway Avenue Spokane, WA 99260 (509) 456- 75 INFORMATION WORKSHEET C/� /CO PARCEL NUMBER: STREET ADDRESS: e (cR=.2- / C1 gocieseine 1'frtc _ . �( CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: •DISTRICT: LOT AREA: F/A: WIDTR: DEPTH: R/W: OF BUILDINGS: #4 oP DDW*LLINGS: WATER DISTRICT: 9616 /0( P ONE: OWNER: U X11 MAILING ADDRESS: CITY/STATE/ZIP: n <rsg CONTACT: PHONE: - SETBACKS�/ FR : LEFTT:_ RIGHT: REAR: PERMIT USE: y v 60t_,j/22 'R BUILDING INNFORMMAATIONN CONTRACTOR LICENSE NUMBER:, [ ./7/e/SG� ,c % [� CONTRACTOR:CV V .16C�He-t- /j UUTlff1 e, PRONE: 5-U7 - 3/j f /4(/MAILING ADDRESS: lV c2 �G/ G /C C V • -� ARCHITECT/ENGINEER: PHONE: - MAILING ADDRESS:. NEW: REMODEL: ADDITION: CHANGE OF USE: N DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:' STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: 4 HANDICAP:_ SPRINKLERED:_ CRITICAL MATERIAL: •