1990, 10-23 Permit App: 90005585 ReroofSpokane `County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: £ zo 7
CITY/STATE/ZIP: 5-/')44, ` LA.
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER: 6i2 'PC
PHONE:
MAILING ADDRESS: O zo 7 ‘ily1 s
CITY/STATE/ZIP: �J� �; Gc/1
CONTACT:
()iavc £�12A-fAkr.J
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT:
PERMIT USE:
REAR:
e,,,f-- -
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: z-;-C,2,A44 C yc/(9 / 04;
CONTRACTOR: 4-6 A t 4155W. -41-0776,...J PHONE : - 47 - 3:73
MAILING ADDRESS: 2 Z Z y ji W �,� / �1� ,JE:
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: