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1991, 11-19 Permit App: 91008012 Reroof
OgS�i - plan. 14 1 par, vv1,RRf3EPr UMW Spokane -County . L a.i DEPARTMENT., OF, BUILDING & SAFETY 91-301Di t3 I West 1303 Broadway Avenue•'Spokane, WA 99260 (509) 456-3675* N, • 59 9 INFORMATION WORKSHEET 4ys,ry PARCEL NUMBER: STREET ADDRESS: v CITY/STATE/ZIP: </2p�, SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: r OF DWELLINGS: WATER DISTRICT: OWNER: , ann!„ Tat {/i�Y PHONE: -9 6 - 2g 1. MAILING ADDRESS: l; %/6i'3 -frer! r,'LH CITY/STATE/ZIP: 500 1.1//4 CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: PERMIT USE: r e roof ***********kirk*kkkk**k**irk*kirk**.***k*k***kkkkk*k.***L4 *44*4k****irk*** BUILDING INFORMATION. CONTRACTOR LICENSE NUMBER: CONTRACTOR: buNNI-tetialoF j9 ri,✓r✓ -X hF e./4, z MAILING ADDRESS: r 330 3 e0 7-17 PHONE: 535- 5,6o kV el 99 faa '2 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: - ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING IIGT: STORIES: BUILDING DIMENSIONS: X • (WIDTff X DEPTH) SQ. F'1'.: REQUIRED PARKING: € HANDICAP: SPRINKLERED: CRITICAL FiATF.RIAL: