1989, 10-13 Permit App: 89004021 Reroof Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: I 5l/2- - O523 v/
STREET ADDRESS: N 12O f V l S l
CITY/STATE/ZIP: S PO\< t-\N l-., AN P\ 9 9 2 I
SUBDIVISION:
BLOCK: LOT: ZONE: AS DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: ELVDy CCL PHONE: Soy - ?z� - it i r
MAILING ADDRESS: N L0 �-\ V 1 S l {
CITY/STATE/ZIP: S P o `JA-- 4 `Z t
a�2kt.L 'PeAK
CONTACT: j E M 0 v\I LL Sy Sreivl S T N C PHONE: , -9 2(, - r1bU
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: CC E \ S L s K �U
CONTRACTOR: I t1E(2 tiNr\0 \I LL INCcits'Ir S PHONE: coq -Cj "LC. - rick U
MAILING ADDRESS: Lt (l\\O(rkf\1 f\ 14\1E- c oL. ,( f(&, c.)6-0(. ill b
ARCHITECT/ENGINEER: S1dnrlC PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: 3l x 49 (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: / # HANDICAP: c2 SEWER (Y/N HYDRANT: