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1990, 01-04 Permit App: 90000059 ReroofDEPARTMENT OF BUILDING & SAFETY West 131)3 Broadway ?ivepue Spokane, WA g9260 (509) 4564675 PARCEL NUMBER: INFORMATION WORKSHEET r STREET ADDRESS: .. CITY/STATE/ZIP: >n p 140 n L ((J Ci SUBDIVISION: BLOCK: LOT AREA: # OF BUILDINGS: LOT: 19" ZONE:t .. DISTRICT: F/A: WIDTH: lV DEPTH: .1256 R/W: OF DWELLINGS: WATER DISTRICT: OWNER: /%/en .'6 C% '00,7,-)J1-1-6-7, -/- MAILING ADDRESS: 1/46 4/ /' /ei PHONE: ,50? -,�Z- - 171/-2-4 CITY/STATE/ZIP: .,S (26h tie !.(_Gt �j 20,5— CONTACT: z045 CONTACT: '1 / /fc/-)a)/ PHONE: ,coq - - ,Sso SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: 5[/-//' �_ / Z 3 K CONTRACTOR: s/e c a CG n 571 i./C 7 I 1 SOY PHONE: - i{ 3 - 5S0�f MAILING ADDRESS: / 7// / /710/y kms. S f .Spoket n e- 9 9�0 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: Rzr 00 f NEW: REMODEL:' ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: irk HANDICAP: RPWRR (V/Ni! i4YflPANT