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1992, 09-09 Permit App: 92007387 Reroof
off- -'1311 Sp®kar►e County 1-b3,�L\ DEP T EN OF BUILDING & SAFETY 4e L� West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP• SUBDIVISION: BLOCK: LOT AREA: LOT: ZONE: DISTRICT: 'F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: �p PHONE:_— MAILING ADDRESS: CITY/STATE/ZIP: -CONTACT: Dan Chambers PHONE: (509)- 747 — 7335 SETBACKS: — FRONT: LEFT: RIGHT: REAR: PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design Company MAILING ADDRESS: 1816 South Maple Blvd. ARCHITECT/ENGINEER: MAILING ADDRESS: WEE 1111511 Mw PHONE • (509)_ 747 _ 7335 Spokane, WA 99;203 PHONE: — NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:. STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.': REQUIRED PARKING: # HANDICAP: SPRINRLERED: CRITICAL MATERIAL: