1994, 09-29 Permit App: 94009594 ReroofSpokane County 89�
DEPARTMENT OF BUILDING &.SAFETY
West .1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: •
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STREET, ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
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BLOCK: LOT: ZONE: DISTRICT:
LOT AREA:'F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
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OWNER: 1 ' 11 )00(4-E � �:
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MAILING ADDRESS:
CITY/STATE/ZIP:
PHONE:
CONTACT: Dan Chambers
SETBACKS: — FRONT:
PE RM:I T USE: )(0 , rir)(-) (L J, l T 4 o`LGb
LEFT:
PHONE: (509) - 747 - 7335
RIGHT: REAR:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: EXTERD*160J3
CONTRACTOR: Exterior Design Company PHONE: (509)_ 747 —7335
MAILING ADDRESS: 1816 South Maple I31vd. Spokane, WA 991203
ARCHITECT/ENGINEER: PIIONE:
,MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OP USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:., STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.':
REQUIRED 'PARKING:
# HANDICAP: SPRINKLERED: ..CRITICAL MATERIAL: