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1991, 12-04 Permit App: 91008361 Reroof
Sp �o q1-e3coI kane County DEPARTMENT OF BUILDING &.SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET akect ).1e. . (732-e PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: -eo<cAiive 1 1 i) EPt 0/c1. -0(e SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: 'F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: OWNER: # OF DWELLINGS: WATER DISTRICT: MAILING ADDRESS: CITY/STATE/ZIP: PHONE: J`-Pq - Q L- 4 ?el t -P lS Gi Lt)(Lui toLL CONTACT: Dan Chambers PHONE: (509)-747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: e-V-cjf) 4 45 i ***************************************************************4************ 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: