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1994, 06-13 Permit App: 94005372 ReroofI 34 APPLICATION WORKSHEET l L General Information .. -.-Tidd4u„ltier �dress y' y5 ,fU�_� � 1h� - -- 1 Y -�,,---- ny Si[e Information Obb fzq 7.r f000u ebreakdowv eat wurte eomre coverc a con .1 vM {n v'a gn tw+ at >ya n� ngc trey Con[ractnr Information Hralu aM iuvhtiov i�poliN R—valva eat wurte ice ing u n vM {n v'a gn tw+ at >ya n� w trey O S I mg coo c o um or m rL�� 2G DCQ� n� uo a, �nga rcss O S I a��nga rcss ny,aat nr 7�1 - Healing conlnclor Other Lcoder -- emc on, r nor a mg�dres Spokane County Division of Buildings 1026 West Broadway Ave t Spokane, Wa 99260 ' (509) 456-3675 REGISTERED AS PROVIDED BVI YV AS A: lc�REI F%viPAlION BATF OS LANGRC+F066DJ 03/04/95 EFFECTIVEDATE 03/11/94 LANG ROOFING COMPANY 607 SOUTH F ST NA 89204 SPOKANE SIGNPTUPE By DEPARTMENT OF LABDR AND IN US RIES ISSUED