1991, 10-09 Permit App: 91006703 ReroofSpokane County
0 DEPARTMENT OF BU►iLOING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS:— 2.
CITY/STATE/ZIP: Aja
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: �F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: In.O VIA L t I P v` PHONE: c-5'Qct - 9.2j) - F
MAILING ADDRESS: F—, (Ez��—��
CITY/STATE/ZIP:
CONTACT: Dan Chambers PHONE: (509)- 747 — 7335
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: "o�-c yk in
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: EXTERD*160J3
CONTRACTOR: Exterior Design Company
MAILING ADDRESS: 1816 South Maple Blvd.
ARCHITECT/ENGINEER:
MAILING ADDRESS:
PHONE: (509)- 747 - 7335
Spokane, WA 99.203
PHONE: - -
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: