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
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SUBDIVISION:
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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: