1994, 09-14 Permit App: 94008962 ReroofSpokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: '/3 2.1 T _ 7/
STREET ADDRESS: S, 1.5 15 B
CITY/STATE/ZIP: G-7 A 9 Z
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: - F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER:
# OF DWELLINGS: WATER DISTRICT:
r _S
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: E& 1 1/14.,e._ Li Q v, S
PHONE: Sri - (,- i t s
PHONE: <S e''? - ? a (c - o _Z l
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: R -e rice-)
**************, ****4c****, **********, *****, **,*********************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: 1A -21-
A.2 L $ E Al IV1(2 3 K
CONTRACTOR: i tsQ N )11 y M' 5 Z r .PHONE: - ?z _ 2-Q(1
MAILING ADDRESS:_ j2:- g 1 L 7b kz �� 2 (Q 2 t
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW:
DWELT, UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
PHONE:
AMR, IMP
REMODEL: ADDITION:
CHANGE OF USE:
d•
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: 1 HANDICAP: SPRINKLERED: CRTTT[`AY. MATFRTaT.-
Wise 'N Meyers Const. Inc.
S.4216 Pondra Dr.
Spokane, WA 99206
4.•-- DETACH TO DISPLAY CERTIFICATE —
DEPARTMENT OF LABOR AND INDUSTRIES
THS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
CONST CONT GENERAL
,REG1STRATION NUMBER
01 =
EFFECTIVE DATE
EXPIRATION DATE
.05/1_3/75
05/16/58
WISE N PIE‘'ileRS
3 1218 FONDRA. DR '
SPOKANE WA 99206 •
,„•.
STATE OF WASHINGTON
F625-052-000 (3-92)
— .
4— DETACH TO DISPLAY CERTIFICATE _4
t:t
601 C83 702 CO1 0002
WISE 'N MEYERS, INC.
54218 PONDRA OR
SPOKANE WA 99206
TAX REGISTRATION
INDUSTRIAL INSURANCE
MINOR WORK PERMIT
UNEMPLOYMENT INSURANCE
t4'
05-31-1995
Mark the "X" in this
box only if there is a
change to Employer
Identification Number
(EIN) or Name.
See Instructions on
page 1.
BANK NAME!
DATE STAMP
EIN 91-1411580 200412
WISE N MEYERS INC
S 4218 PONDRA DR
SPOKANE
WA 99206