1993, 09-14 Permit App: 93008355 Reroof T t
~�- qs. 8 355
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West
1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 1 a r _--
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: , I el r rc1
CITY/STATE/ZIP: fn L/)u} at 9
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: '`F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: k,) b 2rV' E 1<- PHONE: Se)9 - 9,,V v`",za
MAILING ADDRESS: � cl
CITY/STATE/ZIP: p o1G1
CONTACT: Dan Chambers PHONE: (509) - 747 - 7335
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: r s� an
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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: