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1992, 09-11 Permit App: 92007501 ReroofSpokane,County DEPARTMENT OF BUILDING &-SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 9--r-\5cC 51(02_ 7D INFORMATION WORKSHEET a PARCEL NUMBER: STREET ADDRESS: E. 12525 Gutherie Drive CITY/STATE/ZIP: Spokane, WA 99216 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: #r OF DWELLINGS: WATER DISTRICT: OWNER: Tom Conrow PHONE: 509 - 921 - 1264 MAILING ADDRESS: E. 12525 Gutherie Dr. CITY/STATE/ZIP: spokane, WA 99216 CONTACT: Dic&Edwards PHONE: 509 _ 535_ 1566 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: REROOF Permit value: $3,334.00 Permit Fee: $78.84 '************************************************************************* BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: INLANRS283j4 CONTRACTOR: INLAND ROOFING & SUPPLY CO. PHONE: 509 - 535- 1566 MAILING ADDRESS: E. 5528 Sprague Ave. Spokane, WA 99212 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED --PARKING: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SPRINKLERED: - CRITICAL MATERIAL: