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1993, 08-10 Permit App: 93006865 Reroof
q3-6(9 Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 4564675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: BLOCK: L/Z/9 PotA__cire•L61JV'i Ue� o -C +e., Laq _ LOT: ZONE: DISTRICT: LOT AREA: ''F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: -4-00)d u -DIA PHONE: 5c� -9�� - MAILING ADDRESS: � (�� 116 P CITY/STATE/ZIP: 60 C<Gu&-e-) ( .(;)b14 11)/p CONTACT: Dan Chambers PHONE: (509)-747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: Re-rot4 �ac�5 O% **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design Company PHONE: (509) _ 747 _ 7335 MAILING ADDRESS: 1816 South Maple Blvd, Spokane, WA 99201 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: RINKLERED: CRITICAL MATERIAL: