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1990, 07-27 Permit App: 90003575 ReroofSpokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: C 4c---7/ 7 CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT AREA: 99e3 7 # OF BUILDINGS: OWNER: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: LOT: F/A: ZONE: DISTRICT: WIDTH: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: PHONE: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: •-J ? i i J L C /9 yA,7 CONTRACTOR: NLP /42)//147/7 oA) , l PHONE: 3-69 -_4i : % 7 / MAILING ADDRESS: / .� / i Com-) air ARCHITECT/ENGINEER: MAILING ADDRESS: PHO 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: