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1991, 04-08 Permit App: 91001630 Reroof
f CLQ Spokane C& hty A DEPARTMENT OF BUILDING &SAFETY West 1303 Broadway Avenue Spokane, WA' 99260.: (509) 456-3675 Lc l PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: INFORMATION;•WORKSHE$T .;; _et/ -75 MI 500*, l o e ec_ ✓1 e_, l z� 1c :0160:I 40 SUBDIVISION: - BLOCK: LOT: ZONE: DISTRICT: LOT AREA: �_.P/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: n �+�IIl # OF DWELLINGS: WATER DISTRICT: // OWNER: ----,2 . . 1 1 P PHONE: 509'-9,19- 1L o MAILING ADDRESS: P 1 Q°j .I 4 C J k r 1 c.'' i '/ r 6 a c CITY/STATE/ZIP: -5 fr5Kaine- lrie 90/ / CONTACT:. Dan Chambers PHONE: (509)— 747 --7f35 SETBACKS: — FRONT: LEFT: RIGHT:. REAR: PERMIT USE: ',2V`oei Awtolc.vt _ 3-9106 CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION;; EXTERD*160J3 CONTRACTOR: Exterior Design Company r; PHONE: (509),_ 747 - 7335 MAILING ADDRESS: 1816 South Maple Blvd. Spokane, WA 99203 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CEA$TGE OF USE: DWELL UNITS: OCCUPANT LOAD: is:BUILDINWHGT: STORIES: BUILDING DIMENSIONS: X - (WIDTH :K. DEPTH)SQ. FT..: REQUIRED PARKING:_ # HANDICAP: SPRINKLERED:; CRITICAL MATERIAL: