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1992, 04-17 Permit App: 92002615 Reroof
MEC,fk '1/4" v4.4 - 2.. Z)et7 Spokane County 62`° DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: reb rec,A® CITY/STATE/ZIP: SUBDIVISION: BLOCK: 'tfo-(Canc , lug- 01 g 01t LOT: ZONE: DISTRICT: LOT AREA: ''F/A: WIDTH: • DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: 10 e -r " "e_l.c.)e.l t PHONE: s - cmO - J 11 MAILING ADDRESS: , r e- + f)A �C&C O u3 CITY/STATE/ZIP: 5 fO Ka CONTACT: Dan Chambers I )IAr c1GlAf) SETBACKS: - FRONT: PERMIT USE: R8..4-(5/64: PHONE: (509) - 747 - 7335 LEFT: RIGHT: REAR: ftwiou.,V 39‘,6 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design Company MAILING ADDRESS: 1816 South Maple Blvd. PHONE: (509) — 747 — 7335 Spokane, WA 99203 ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: -7 4 34 res 4,5o 65 n 0 Li PHONE: MIND REMODEL: ADDITION: CHANGE OF USE: OCCUPANT LOAD: BUILDING HGT:., STORIES: BIONS: X (WIDTH X DEPTH) SQ. FT.: NG: # HANDICAP: SPRINKLERED: ..CRITICAL MATERIAL: