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1991, 06-12 Permit App: 91003251 Reroof, Trusses
Spokano -County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: -- b/// STREET ADDRESS: 0523 tk� CITY/STATE/ZIP: S pOk8vie W W . 9q2-17.- SUBDIVISION: QZ1ZSUBDIVISION: 51W)vvwwvxS Ecliqc,„ • BLOCK: / LOT: v7 ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: 2_ # OF DWELLINGS: 1WATER DISTRICT: h Spokaw OWNER: Ivy) 01/l 1'peZ PHONE: 5-6 - `>3C — 3 Ca'e 9 MAILING ADDRESS: IL9 Z5 F +� CITY/STATE/ZIP: 5FAslY-l€ um 9° 21 7.— CONTACT: _CONTACT: J cina u z, PHONE: c09 - S 3S- - 3 9 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: 4, 2)QQ �0 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES : BUILDING DIMENSIONS : X - (WIDTH r DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: