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1994, 10-21 Permit App 94010526 Re-Roof-,�s�- -1052( Spokane County DEPARTMENT BUILDING OF Dloo°g West 1303 Broadway Avenue Spokane, WA WA D& 99260SAFETY (509) 456-3675. INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: �t Jar LC4- 1.cDnP?c C) j[' CITX/STATE/ZIP: � ,to � I 11n SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: ,17/A : WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: OWNER: 40,_tk_k MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: Dan Chambers WATER DISTRICT: PHONE: 5" S�7 ‘S7S' LLD r-tc?itir, PHONE: (509) - 747 - 7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: Pt111.4 �D.l 1/1 � S� ��. ***************************************,************************•************* BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: lax cerior Design Company MAILING ADDRESS: 1816 South Maple Blvd. ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: (509) _ 747 _ 7335 Spokane, WA 99;203 PHONE: NEW: REMODEL: ADDITION: DWELL UNITS: OCCUPANT LOAD: BUILDING DIMENSIONS: REQUIRED PARKING: # HANDICAP: CHANGE OF USE: BUILDING HGT: STORIES: (WIDTH X DEPTH) SQ. FT.: SPRINKLERED: .CRITICAL MATERIAL: