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1990, 10-12 Permit App: 90005354 Reroof
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, TA 99260 (509) 456-3675 INFORMATION� WORKSHEET PARCEL NUMBER: J i! 3 - (769C/p STREET ADDRESS: cS / u / -4 CITY/STATE/ZIP: �. �j/>CStaLQ �X ? 7� O SUBDIVISION: ((((//// BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: C:6/,t.S Q/t2_ & . aoodri'cic___ PHONE: C� - o lO - 2.42,__K?) MAILING ADDRESS: E 76.502 / Pia 1 r 0 67 CITY/STATE/ZIP: � ('�Givt�� W % q.20 CONTACT: /\Ct f�, i� ���C�( T';Ci -- PHONE: 9 - 922 - .2633 SETBACKS: — FRONT: LEFT: RIGHT: REAR: PERMIT USE: - ri c �G� (7O%'OS! /Uvl **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: — — MAILING ADDRESS: 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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: