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1991, 11-19 Permit App: 91008024 Reroof
aa.-. ..,A060,- abs - '' ,9 .5-c oV5 �,, ,�-, Spokane County e'i``e't,' DEPARTME�NT�OF BUILDING & SAFETY dlik West 1303 Broadway Avenue Spokane, WA 99260 (509) - b 1 p 456-3675 q� � �I INFORMATION WORKSHEET Check 1,16 s9si 44 5 to , 7 0 PARCEL NUMBER: STREET ADDRESS: t.. 16 00 `w e/t' ck y CITY/STATE/ZIP: S fie) . 'IA.,en - / SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: ! # OF BUILDINGS: f OF DWELLINGS: WATER DISTRICT: OWNER: VIA''..eh4✓ f'ee,•6 /nrn1/4r.97e/✓T PHONE: - 9.Zfr -SS-0C) MAILING ADDRESS: z5 ?..2.0., M0,770 CITY/STATE/ZIP: 5&. '1/4,,,ef. 9'7 o ,C CONTACT: S11 d PHONE: -7 .. - � t,C0 • SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: rt root= t BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: D off/ /r- 0. i 2 f 0� • CONTRACTOR: .19 u/L/A/ 7,- bi ,e ,',e/ z E10 PHONE: • MAILING ADDRESS: b 3 30 3 , 7'h o 7 ? e S� ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: --,! - ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: i BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : • REQUIRED PARKING: f HANDICAP: SPRINKLERED: CRITICAL MATERIAL: