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1995, 06-13 Permit App: 95004246 Reroof
• Spokane County. 15-7 2121 DEPARTMENT OF BUILDING & SAFETY= West 1303 Broadway Avenue Spokane, WA :99260 (509) 456-3675 • :gt° PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: o 3 C-7' -v‘` /2'c CITY/STATE/ZIP:-S;0 14- p SUBDIVISION: BLOCK: LOT: ZONE: •DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: $ OF BUILDINGS: t OF DWELLINGS (,pca-4 OWNER: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: WATER DISTRICT: PHONE: -92V %}'-S3 PHONE: SETBACKS: - FRO : LEFT: RIGHT: REAR: PERMIT USE: or -60 AI d-, 3'ct C tr-re;ft, V� BUILDING INFORMATION• , / /� •' CONTRACTOR LICENSE NUMBER: C/4/r IC .. /G? /2 5/ /, /�/ CONTRACTOR :6r/Th'd:' CCM `-'!(. G a Xic, PRONE: -9'F''-0/6 O MAILING ADDRESS`r'M04uc- /. C.tf,;o Ze7nc___� 9f47-7 ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS:. NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED:_ CRITICAL MATERIAL:_