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1991, 09-12 Permit App: 91005735 Reroof
Spokane 4pnty DEPARTMENT OF BUILDING &SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET .275-V/ - .'4o7 STREET ADDRESS: CITY/STATE/ZIP: �n��11.. SUBDIVISION: �yJ - ye 4:52BLOCK: / LOT: ' ZONE: DISTRICT: LOT AREA: # OF BUILDINGS: OWNER: F/A: # OF DWELLINGS: WIDTH: `24-2.1 /• 23 o i MAILING ADDRESS: CITY/STATE/ZIP: /774 DEPTH: R/W: WATER DISTRICT: PHONE: 557 - (moo- 5YY? CONTACT: PHONE: -- SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: /956 BUILDING INFORMATION - - - CONTRACTOR LICENSE NUMBER: AK/45- J aid * C*), 9 . / CONTRACTORf7 ) WnP & 412( ��n PHONE: 5O y - - (O MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: