1993, 09-22 Permit App: 93008530 Siding, Windows, RoofVA vk.A-42eco-s =-_ Io) -4
******************************************************************************
INFORMATION WORKSHEET (91. _ TS-
******************************************************************************
PARCEL NUMBER:
STREET ADDRESS: q (\-S
CITY/STATE/ZIP: )1.0‘,(..41\t/ CiCaCC
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: FIA: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
s -cd, Jr..1-\t-keak
C0-1 ),%rf-S
PHONE: 50'1 - C1942 --
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
• PERMIT USE:*
; atd (AJ •
******************************************************************************
BUILDING INFORMATION
* *
CONTRACTOR LICENSE NUMBER: CARym.s*0cti A *
* *
• CONTRACTOR: GARY McVAY SIDING & WINDOWS
PHONE:
24LEUCLID *
LI
• MAILING ADDRESS: SPOKANE WA 992074118
* ARCHITECT/ENGINEER: PHONE:
* *
* MAILING ADDRESS:
*
*
*
NEW: REMODEL: L.,/'ADDITION: CHANGE OF USE:
* DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
*
* BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
*
*
*
*
*
*
*
*
*
* REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT:
******************************************************************************
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