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1992, 09-28 Permit App: 92008148 Reroof 9cQ _ z Spokane County ,`A DEPARTMENT OF BUILDING & SAFETY West •1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: L )ooci LA.)a- rpt CITY/STATE/ZIP: ! ,'. • 0_4. �� 1 _ SUBDIVISION: BIloCK: LOT: ZONE: DISTRICT: y ,5�as LOT AREA: I'/A: _ WIDTH: DEPTH: R/W: ` es 3yr # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: ' T l 1 PHONE: t - 6A4,L - 1, c/ MAILING ADDRESS: S I 1.,c)00c,1 tA�0.rCd CITY/STATE/ZIP: " p Ka_ )ik C31 °1 CONTACT: Dan Chambers PHONE: (509) - 747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: O!Ar%co ,Q 3441 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: I?XTERD*160J3 CONTRACTOR: Exterior Design Company PHONE: (509) - 747 - 7335 MAILING ADDRESS: 1816 South Maple Blvd . Spokane , WA 99.203 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: