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1994, 08-22 Permit App: 94008131 Reroof55(7)or County v� \lvf 3 Spokane DE •ARTI'ENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: •" g131 STREET ADDRESS: I9I0IR 1/1.x, !talk. 04, CITY/STATE/ZIP: Cc, kr CI 0 ,\r -c.-) Li c7f gQ l (� SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: ''F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: PGF > 1 /.(3r e. PHONE: `'n c? - 6 S''- '3 g . ? 1 9 10 ion.,/- , .&, kil N. , MAILING ADDRESS: CITY/STATE/ZIP: 6; Ire.e-f\ Lam q ) l � CONTACT: Dan Chambers PHONE: (509)-747 - 7335 SETBACKS: - FRONT: LEFT: R-IGHT: REAR: PERMIT USE: [-r,\rept, - 1A.C� l,' L ,' ) e f)O **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design Company PHONE: (509) — 747 — 7335 MAILING ADDRESS: 1816 South Maple Blvd. Spokane, WA 99,203 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: