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1992, 07-14 Permit App: 92005249 Reroof
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET 1 o STREET ADDRESS: ( .cl / G i CITY/STATE/ZIP: SUBDIVISION: sz Kc_ ut -) 9 ,c BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF 'tUILDINGS : # OF DWELLINGS: WATER DISTRICT: OWNER:pr1 k t,4i4.1) PHONE: nn -9g0-4/7 .e0r/.9„, 7 MAILING ADDRESS: CITY/:TATE/ZIP: CONTACT: I)an Chambers PHONE: (509)- 747 - 7335 SETBACKS: — FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** I3IJILDING INFORMATION CONTR TOR LICENSE NUMBER: EXTERD*160J3 CONTR :TOR: 1'xter i nr C;nmp my PHONE: (509) _ 747 _7335 MAILING ADDRESS: Pil0 :;uuth M;A1, I t k31v�l . Spokane, WA 99.203 ARCHITECT/ENGINEER: PHONE: MAILII'G ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNIT.:: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: :C (WIDTH X DEPTH) SQ. FT.: REQUIIED PARKING:__ HANDICAP: __ SPRINRI,ERED: •. CRITICAL MATERIAL: