1990, 10-19 Permit App: 90005537 Re-Roof Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: . Z d z a k e e v
CITY/STATE/ZIP: efif74At !
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: .
OWNER: G1-Ir rti 0.-ie\Ct ic;Q Y1 r PHONE: - -
MAILING ADDRESS: `r k s- \ t/kick 1 k 1
CITY/STATE/ZIP: OYCl VV\CJL C h r'.s-�,a v1 r--e lo(ALL tl_p f v i Jct*e 4Q t ,f VeL )
CONTACT: �e(_a,,el
PHONE: -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
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PERMIT USE: p
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: \,\\ &C, l 1
CONTRACTOR: A IC. - a- `
11 1 0 itv,43HONE aa5- —0-109
MAILING ADDRESS: .N , i--4¶ S U\V\ l+
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: