1990, 06-12 Permit App: 90002656 Reroof Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: C/51 /
STREET ADDRESS: Jif 2... L2 / U ()i S• r
CITY/STATE/ZIP: S P LA/ 4 oe (.d'
SUBDIVISION:
BLOCK: LOT: ZONE: AS DISTRICT:
LOT AREA: F/A: WIDTH: /25 DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: (3 f Ft)IV 1 S , H/ N PHONE: - -
MAILING ADDRESS: hJ 2 b / 0 74
CITY/STATE/ZIP: SP o AN c. L,c} S�1
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: ee 0
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: /-I i C Ic Z L/ h
CONTRACTOR: H.C k M A /lJ 1? o ?- ,6V, PHONE: .? - 0
MAILING ADDRESS: C./ j gIry /9 c_ f V p IV Q 1,(2'9
ARCHITECT/ENGINEER:/ PHONE: • 2-7 - b D
J) l
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: