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1989, 09-18 Permit App 89003433 ReroofSpokane. County - DEPARTMENT OF BUILDING & SAFETY A Division of Public Works INFORMATION WORKSHEET PARCEL NUMBER: Pia y / 0, STREET ADDRESS: COIL, i,feyc C t CITY/STATE/ZIP: g2r S Pd �� w 14 9, `1 Z 0,6 SUBDIVISION: BLOCK: LOT AREA: OF BUILDINGS: LOT: ZONE: DISTRICT: F/A: WIDTH: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: OWNER: /f/� (, / Q, S W 14iV /(/ R C )r PHONE: MAILING ADDRESS: S C/ / Q V C ©rt/ , rt'P C �. CITY/STATE/ZIP: CONTACT SETBACKS: - FRONT: PERMIT USE: PHONE: - LEFT: RIGHT: REAR: k*k*k*##***#***k#k****#***#****k**k****k***k**k#kk***####***##****##**#**** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: PHONE: - NEW: REMODEL:_ ADDITION:_ CHANGE OF USE: DWELL UNITS::_ OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: % (WIDTH K DEPTH) SQ. FT.:_ REQUIRED PARKING: / HANDICAP: SEWER (Y/N): HYDRANT: