1991, 08-19 Permit App: 91005119 Rerooft
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 0509)14W6-3675
INFORMATION WORKSHEET
PARCEL NUMBER: '351/ taC
STREET ADDRESS : if/ UvLE._c_c o U.i
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: .F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: \‘ V‘ C) O_V- 3 PHONE: SCR - /Z/- 34 I
MAILING ADDRESS: 3 1 1-7 P -E, re `, 4- '(\P m w
CITY/STATE/ZIP: SOQ,ULP
1
CONTACT: Dan Chambers PHONE: (509)-747 - 7335
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE :p r � + 9 0050
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
EXTERD*160J3
CONTRACTOR: Exterior Design Company
PHONE: (509) _ 747 - 7335
MAILING ADDRESS: 1816 South Maple Blvd. Spokane, WA 99203
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
IMO
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: