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1992, 04-30 Permit App: 92002943 Reroof
\0" qa-a943 /1(057 Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET yG STREET ADDRESS: kf . P(p (5 pick CITY/STATE/ZIP: .5)016e_AtI..g) ' (13k c(q to SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: 'F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: Ea. -r ` °rat?t.v- PHONE: 9 - CJoZq - osol MAILING ADDRESS: B62 5 CITY/STATE/ZIP: fn'Krine-, IR)S9 49.%L CONTACT: Dan Chambers PHONE: (509) - 747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: £e.rboz A vu_.®u Jr as e BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design Company PHONE: (509) 747 7335 MAILING ADDRESS: 1816 South Maple Blvd. Spokane, WA 99:203 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: