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1996, 07-29 Permit App: 96005657 Reroof
0 /0q' 0q -�0' Spokade County dt' ✓!�: DEPARTMENT Dc umLDImG 9- citcTv West 1303 Broadway Avenue Spokane, WA 99260 (509) 4563675 INFORMATION WORKSHEET D�Q � PARCEL NUMBER: STREET ADDRESS: 11 L, `%Z �L I CITY/STATE/ZIP: ::S. SUBDIVISION: BLOCK: LOT: LOT AREA: ZONES DISTRICT: WIDTH: DEPTH: R/r3: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: 4 11111,a APHONE: -5(nq-�- MAILING ADDRESS: i �o I �. � , CITY/STATE/ZIP: CONTACT: Dan Chambers PHONE: (509) - 747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: R eLo!2�:laz � BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design Company MAILING ADDRESS: 815 N. Lily Rd. ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: (509) - 747 - 7335 Spokane, WA 99212 PHONE: - NEW: REMODEL: ADDITION: C "GE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: