1990, 10-01 Permit App: 90005008 ReroofSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
y1n57/2 2307
STREET ADDRESS: 5, a 31 9 %,c,\\11,,
CITY/STATE/ZIP: G P ply ar k) LX) fl
SUBDIVISION:
BLOCK: LOT: ZONE:. DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:5b
# OF BUILDINGS: � $ OF DWELLINGS:
OWNER: 1-n m S h :\
MAILING ADDRESS: 5. 3, 3\ c\ C o I vs,
WATER DISTRICT:
PHONE: S( -g - 9.ra -) D 3a
CITY/STATE/ZIP: 5 Kat r‘ 2
CONTACT:
PHONE:
9au - 103g
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: 1) C m \-)T \0 ) \k U
PHONE: 5-01 - 7.3 S a
CONTRACTOR:-Sk czm �coTIN tS Inc
MAILING ADDRESS: N, `3 a s (1)(11\ C c Q.--
Pito
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION:_ CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:
STORIES:
BUILDING DIMENSIONS: % (WIDTH X DEPTH) SQ. FT.:
REQUIRED -PARKING: 4 HANDICAP: SPRINKLERED:
CRITICAL MATERIAL: