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1993, 05-20 Permit App: 93003776 Reroofy5a (Lk I Spokane Count DEPARTMENT OF BUILDING & SAFETY �a West 1303 0r0adway Avenue Spokane, WA 99260- (509) 456-36n INFORMATION WORKSHEET PARCEL NUMDER: STREET ADDRESS: CITY/STATE/ZIP: G,n Oka 'A I U� Pc 9'gag �! SUBDIVISION: —''�-� - BLOCK: _ LOT:__ ZONE• DISTRICT• LOT AREA: _ T/A: WIDTH: DEPTH: R/W: - $ OF BUILDINGS:_ ``# OF DWELLINGS:_ WATER DISTRICT: OWNER:yo- PHONE: MAILING ADDRESS:/O$a.p P: CITY/STATE/ZIP CONTACT: Dan Chambers PHONE: L509)-_147 -7335 SETBACKS: n- FRONT:- LEFT:_ RIGHT:_ REAR:_ PERMIT USE: y r lrCp� �,I.�O M BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design COmpany PHONE: (509)— 747 733$ MAILING ADDRESS: 1:116 Suul_h Mnplc. Iilvd. Spokane, WA 99:2'03 ARCHITECT/P.NGINEER: PHONE: MAILING ADDRESS: NEW:_ REMODEL:__ ADDITION:_ CHANGE OF USE:_ DWELL UNITS:_ OCCUPANT LOAD: BUILDING HOT:.. STORIES:' BUILDING DIMENSIONS:__ X _ (WIDTH X DEPTH) SQ. FT.': REQUIRED PARKING:_ p BANDICAP:_ SPRINKLERED: _, CRITICAL MATERIAL: