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1990, 06-04 Permit App: 90002490 Reroof
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: js, /80 7 C ///Q'/ CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: LOT AREA: ` F/A: # OF BUILDINGS: OWNER: ZONE: DISTRICT: WIDTH: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: BUILDING INFORMATION �J CONTRACTOR LICENSE NUMBER: ' Y p *Y/ 2 * ��f CONTRACTOR e 7(JA..�) (. -Aie�/ jj, PHONE: Jd f -zd..- 7/7/ MAILING ADDRESS:(zQ.gpres ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING NGT: STORIES: BUILDING DIMENSIONS: % - (WIDTH % DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: