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1992, 09-15 Permit App: 92007624 Reroof
Spokane Countyeruz " DEPARTMENT OF BUILDING & SAFETY �� , West .1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: E 1 IL. 'T J ,,, ,c, CITY/STATE/ZIP: �_;P to l i 0 •. • Gt oA ) � SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: _ 'F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: I OWI. <y_,Q AI PHONE: .5()9 - q4a - -20 7 k MAILING ADDRESS: 5 , r714-14 Z ^ 1 D CITY/STATE/ZIP: ,. iik. Q.UI. . CONTACT: Dan Chambers PHONE: (509) - 747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: Ro (. ��o 1 °---C �- L �. 175 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: LXTERD*160J3 CONTRACTOR: Exterior Design Company PHONE: (509) - 747 - 7335 MAILING ADDRESS: 1516 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: