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1990, 10-10 Permit App: 90005273 Reroof, Plumbing Fixtures
Spokane County DEPARTMENT OF DUf LDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: .f ��� / c)3 STREET ADDRESS: / S 2 / N L, /r CITY/STATE/ZIP: a Re) 164.+(1. u, f 4ca rz SUBDIVISION: BLOCK: LOT: ZONE:,5J".' DISTRICT: 5 LOT AREA: F/A: WIDTH: DEPTH: R/W: e5 $ OF BUILDINGS: 4 OF DWELLINGS: WATER DISTRICT: OWNER: . r/9 / -} "nivri Noly,� HAILING ADDRESS: :51/41.- CITY/STATE/ZIP: 51/na. CITY/STATE/ZIP: PHONE: s S - ca $' - 6 3 7/ CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: PERMIT USE: s„L 2ett+1 3 s U �f�a G. 4.44„/Der c Kr etw.,! REAR: 1.1 *********************fir*******+k******************k********dk,kdk*,k,klc**tktkicicdklc*** BUILDING INFORMATION - CONTRACTOR LICENSE NUMBER:p /j/G r' -11C ep/DA/ CONTRACTOR: ,4//1y,e_ e-7.174e?1>1,i MAILING ADDRESS: (XPI ne s id/z- // PHONE: SOF- 9Z8"- 7S/� //(79 �' &7 ./ew ,aQ ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: DWELL UNITS: PHONE: ADDITION: CHANGE OF USE: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: