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1995, 04-04 Permit App: 95001950 ReroofSpokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA ; 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: //q9/5-- /1`y, CITY/STATE/SIP:779 C)' 4:614 ; SUBDIVISION: I 74-1. 2 5 ( 3 Lia E3 BLOCK: LOT: LOT AREA: # OF BUILDIN 8: OWNER: F/A: ZONE: DISTRICT: WIDTH: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: MAILING ADDRESS: CITY/STATE/SIP: CONTACT: PHONE: -%/ PHONE: i SETBACKS: - FRONT: LEFT: R $HT: REAR: PERMIT USE: ray / ` - S4? **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: c%/"`// s..,fdf,r MAILING ADDRESS: 344 c PHONE: - /- ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: IND 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: