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1989, 11-02 Permit App: 89004437 Reroof
Spokane County DEPARTMENT OF BUILDING & SAFETY A Division of Public Works INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: 'S. /00 CITY/STATE/ZIP: _WCCfn(E- s� SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: J # OF DWELLINGS: OWNER: )1(U,�.1�hltkz.t Root/Pij l[ S/t9il S /4t. MAILING ADDRESS: /-?0, Sox 13561, WATER DISTRICT: PHONE: 6-07 - ysY - 13o:G CITY/STATE/ZIP: )0/4 aAi4. 4)A. ”/_- CONTACT: /i7 / /moi/i / Av o J- PHONE: 50 - yd s' - q/yL/ SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: /_ - x-200 8/0--2U ************************************+*************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: `7i2€ :1 CONTRACTOR: /a -LA/ 4).511 &:)O-6/•(_9 Zt/C• PHONE: ,J(' -(pc l - Q 73� MAILING ADDRESS: 4 //j L)/Y,t )/eco ' -7 (eu v" C/ ' 2'e f'.•1 c-/ c5,3�(Y ARCHITECT/ENGINEER:0 PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH'X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: