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: