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1992, 04-06 Permit App: 92002202 Reroof 0P- asoc-- ‘2-P 3 0f Spokane County " '5`e I 8� 'P DEPARTMENT OF BUILDING & SAFETY vkEvt.�,3 West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: • STREET ADDRESS: j g©c b L)ci rr,, n(e\, CITY/STATE/ZIP: n ®-��{�� r Lx.-)A. 4;?. 6? , SUBDIVISION: r BLOCK: LOT: ZONE: DISTRICT: LOT AREA: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: L. PHONE: S1- 535-- nO�, MAILING ADDRESS: , I 2 0 `r!' Lo curd Sof CITY/STATE/ZIP: -ka k � Li)b4 (i, Gj CONTACT: Dan Chambers PHONE: (509) - 747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ke_v-t,0 _( ✓Y1 o (S429 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD#160J3 CONTRACTOR: Exterior Design Company PHONE: (509) - 747 - 7335 MAILING ADDRESS: 1816 South Maple Blvd . Spokane , WA 99203 ARCHITECT/ENGINEER: PHONE: - - 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•