1989, 06-01 Permit App: 89001537 ReroofSpokane county
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER:. / c S 4y.) -//q/
STREET ADDRESS:
/a ga G/ en T/9 /d
� / ',
CITY/STATE/ZIP: Sfl,k,"/4/.€ i¢ s 4 9 9) ( /
6
SUBDIVISION:
BLOCK: ? LOT: K ZONE: /him DISTRICT: F
LOT AREA: F/A: WIDTH: DEPTH:. R/W:
4 OF BUILDINGS:
4 OF DWELLINGS: WATER DISTRICT:
OWNER: /9, (o: / /gV A C.J51- /7. y I PHONE: ��y. '_1r�2
MAILING ADDRESS: 1 l2 g'6' v (,f¢ //�L ck
/,c),9- 9 2 P/
CITY/STATE/ZIP:. 54:70
CONTACT: PHONE: /77 % 'C -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
4 HANDICAP: SEWER (Y/N): HYDRANT: