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1992, 12-04 Permit App: 92010666 Reroof
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION 1.OK SHEET o A • Sr111\- ELv' ADDRESS :DDRES J S. Li 12, kjl) /Jp/j�1'Pf1 ) AP 71 CITY/STATE/ZIP: SPOKa() wflc 4 ggaof0 SUBDIVISION: 6/ 11616 0/ BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: [,A 3014A.6010 PHONE: 5-0,T - q2.7 - of 87 MAILING ADDRESS : SairYleC(S gbGtie. CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: . . LEFT: RIGHT: REAR: PERMIT USE: ***************+ ***+ *******+ ****** *************************************ttf . BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: fiARSlRSeCigQT CONTRACTOR: ASA S zOr ROoFrAx,_ PHONE: 509 - 612.g - 37(4, MAILING ADDRESS: E, i /j Drs14M4A/ inZZA Pp. g92a ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS : OCCUPANT LOAD: BUILDING HGT: STORIE.�S : BUILDING DIMENSIONS : _----____-- X (WIDTIi X DEPTH) SQ . FT_ REQUIRED PARKING: # HANDICAP: SPRINKLERED: --- CRITICAI. MATER I7,:. :