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1992, 08-07 Permit App: 92006181 Reroof
LASa3,-os 1 ( �1� cia- (4,\I ( "VI+��.� �� Spokane Countyig / 2)-1 • p ,\`\ DEPARTMENT OF BUILDING & SAFETY e West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 �� INFORMATION WORKSHEET PARCEL NUMBER: - STREET ADDRESS: 5 , _/z/ 1� ✓V beAr. IQV\ e- IDU,iOe__, CITY/STATE/ZIP: de_\rec_ctc,_tc_ ( / 1R. Cig08 tr SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: 'F/A: WIDTH: DEPTH: R/W: , # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: ZZ p t,( ecs PHONE '"� Sad - q� - &././,_ MAILING ADDRESS: , as / (1- I 1 w‘. be,rLcLu\ . tr)1(, ve--- CITY/STATE/ZIP: 6e 84 p 1 `,.�)� l 63/7 CONTACT: Dan Chambers PHONE: (509) - 747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: Vc,V•4:20 - A-ULkaLLYL X- - f)-n 5•g / **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTR ,:TOR: Exterior Design Company PHONE: (509) _ 747 7335 MAILING ADDRESS: 1816 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 : :{ v (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING:______ # HANDICAP: __ SPRINKLERED: CRITICAL MATERIAL: