1992, 10-12 Permit App: 92008766 Reroof1\t0
Spokane County L 521b Lib 1°
DEPARTMENT OF BUILDING & .SAFETY
West .1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
INFORMATION WORKSHEET
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SUBDIVISION:
BLOCK:
LOT:
ZONE:
DISTRICT:
LOT AREA: 'F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER:
# OF DWELLINGS: WATER DISTRICT:
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MAILING ADDRESS:
CITY/STATE/ZIP:
PHONE : 6/07 - D /0
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CONTACT: Dan Chambers PHONE: (509) - 747 - 7335
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: P,x f -moo.% {4.1/4 -6C. -it 4- 1060
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BUILDING INFORMATION
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CONTRACTOR LICENSE NUMBER:
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: