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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