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1990, 08-28 Permit App: 90004258 Reroof
Spokane County `'5,d Ot4 DEPARTMENT OF BUILDING & SAFETY 4 West 1303 Broadway Avque Spokane, WA 99260 (509) 456-3675 61 5� INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: E , I 1 iJth CITY/STATE/ZIP: �,,pe ie-, 1 LQ'� SUBDIVISION: UU BLOCK: LOT: ZONE: DISTRICT: LOT AREA: V/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: kK) 1ZeA,,,A-OWNER: ()`IraY SAaA PHONE: (S©q) - 9 - CL MAILING ADDRESS: 13•�3 CITY/STATE/ZIP: �, 90.6, yl j 6 I (p CONTACT: Dan Chambers PHONE: (509) - 747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: k.2„00 <(/Ktc.t Kim, 8b©© 7 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design Company PHONE: (509) - 747 - 7335 MAILING ADDRESS: 1816 South Maple Blvd . Spokane , WA 99203 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: