1989, 06-12 Permit App: 89001715 Reroof Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: 2-2-- 5 Y 3 Cc/
STREET ADDRESS: C I -56( q /11
CITY/STATE/ZIP: < /)/( ( 2 - /
SUBDIVISION:
BLOCK: 4( LOT: 3 ZONE: /p54,„ DISTRICT: itIAT AREA: F/A: WIDTH: / 70DEPTH: /5/L- R/W: 5-C)
# OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT:
OWNER: (Gz rZ -7 .4-- A q' / -t �-�- PHONE: _- t 2-t
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: 3 0
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: A L. /2_ / Y-
CONTRACTOR: 4 L// i ' ius� 8-'46 it PHONE: S ( - 0(d-
MAILING ADDRESS: E y/ 5
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. :