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1990, 01-17 Permit App: 90000189 ReroofSpokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: �/ �11 STREET ADDRESS: (,2 / 1), A'I,o .DL 1/V Eb. CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: PHONE: - - .MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: - SETBACKS: - FRONT: LEFT: RIGHT REAR: £t % e( {�6uSar Sa'G entr`gc-e�/ •***************** PERMIT USE: BUILDING INFORMATIONN CONTRACTOR LICENSE NUMBER: (7 DECO /L) Kfl s5 b -S CONTRACTOR: 0_ 4.) GLOWS/. �/ 7 / PHONE 00p -O/r✓� - /LIQ MAILING ADDRESS: A( 7 4/ g e T/ (M 2-e ARCHITECT/ENGINEER: ///j/T 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: SEWER (Y/N): HYDRANT: