1989, 06-08 Permit App: 89001657 Reroof Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: r /d 9 Q / 9/A
CITY/STATE/ZIP: S:/00 ,,.4/06:. W, 79
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
4 OF BUILDINGS: I OF DWELLINGS: WATER DISTRICT:
OWNER: / +; j rvi tek to 4/ PHONE: - -
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: '14 5 ! f,> &Jr/ 3 7 J.(' 7
CONTRACTOR: eit,17 W x - PHONE: 1'? - Jr ,�= 0,5
MAILING ADDRESS: G S`/D c /711
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: I HANDICAP: SEWER (Y/N) : HYDRANT: