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1992, 06-19 Permit App: 92004525 Reroof
Spokane -County DEPARTMENT OF BUILDING &SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: STREET ADDRESS: 1 '4) CITY/STATE/ZIP: Lc A lCl 1 INFORMATION WORKSHEET SUBDIVISION: BLOCK: • LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: 0 OF BUILDINGS: #.OF DWELLINGS: WATER DISTRICT: OWNER: p�Q� qt.)0!1 PHONE : _ 9 — 0 MAILING ADDRESS: E (?)(Ass CITY/STATE/ZIP: CONTACT: PHONE: SETBACKS: — FRONT: LEFT: RIGHT: PERMIT USE: • * eek+k*fe**+k*,rr*+k*+k*++F**** kik,rafrit+k,Ar**rr*,kftfe*irlF*it***k*llr*,k*lF*fcrc+kic*it*lF,kfe**ie,klfr+kictr*+kick*** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: PHONE: 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.: REQUIRED PARKING: 0 HANDICAP: BPRINKLERED: CRITICAL MATERIAL: