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1991, 10-09 Permit App: 91006698 Reroof
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: it/ /,0 , CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS:7WATER DISTRICT: OWNER: D/V ,� �(J/t/0PHONE: ,.SO? — ' — - 3 g 3_5 MAILING ADDRESS: I/9 2 CITY/STATE/ZIP: ;` _- /�L��717100V A 190, CONTACT: PHONE: — — SETBACKS: — FRONT: LEFT: RIGHT: REAR: 1f� �-7 PERMIT USE: It % -C C 5 **************************************************************************** BUILDING/17/?/7- 66 /INFOORMATION p CONTRACTOR LICENSE NUMBER: 4 057/107: CONTRACTOR:%j Did,, ► 4/U4).0 /2//e/5 OA4y PHONE: 507 — ZZ(o — ON't MAILING ADDRESS: </92 3 / Lz7 '" 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: