1991, 10-29 Permit App: 91007352 ReroofSpokane County
g� DEPARTMENT OF BUILDING & SAFETY
¢ )o ` West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 gg
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
1111 c 17014.cltrosc . DIrt)t
5R0 Ae. LPDA C/
(1/7.4L/,
BLOCR:�_ LOT: ZONE: - DISTRICT:
LOT AREA: -'F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER:
Citi In CD k ;L AA,L & 0 AA Q Jr—
MAILING ADDRESS: E., 1 t lq
PHONE:
-9 - el t T
CITY/STATE/ZIP: c, fA v, p . (o.)tpt. Gq (e)
-CONTACT:- Dan Chambers PHONE: (509)- 747 ;7335
SETBACKS: - FRONT:/LEFT: RIGHT: REAR:
PERMIT USE: & p)r6:14cy,L ;R' /l,t..QauCE ;.--(000
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
EXTERD*160J3
Exterior Design Company
MAILING ADDRESS: 1816 Soutft Maple Blvd.
PHONE: (509) _ 747 _ 7335
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: