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1992, 11-05 Permit App: 92009698 Reroof
351al. -0-24o3 _,i pq oCOACS� Noe 0. Spokane County 18c -yo s fc c0)1\ DEPARTMENT OF BUILDING &.SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: tn'rCd t' "+[r vtsx3%'� 92- 'atcocle STREET ADDRESS: �, /'�((Z CITY/STATE/ZIP: S5 k jLa. (.L.51h gQalP.-. SUBDIVISION: BLACK: LOT: ZONE: DISTRICT: LOT AREA: TVA: WIDTH: • DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: g i 1 �N 1-L ore/0e_ PHONE: -S - $cm,e MAILING ADDRESS: �. S 009 GLLlnvt;�ei Dr;ue $@kaite LA:)dt. ota.l Dan Chambers PHONE: (509) - 747 - 7335 CITY/STATE/ZIP: CONTACT: SETBACKS: - FRONT: LEFT: RIGHT: REAR: i&�om f PERMIT USE: Lo loo " **************************a**********************r.************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design Company MAILING ADDRESS: 1816 South Maple Blvd. PHONE: (509) _ 747 - 7335 Spokane, WA 99:203 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.: # HANDICAP: SPRINKLERED:,CRITICAL MATERIAL: