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1991, 08-29 Permit App 91005415 Re-RoofSpokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway- Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER:�3�_ STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION:---- SUBDIVISION: ;2— 2-., BLOCK: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: .IT/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT OWNER: PHONE: -Toe?- MAILING ADDRESS:- CITY/STATE/ZIP: DDRESS: CITY/STATE/ZIP: CONTACT: Dan Chambers PHONE: (509)- 747 - 7335 SETBACKS: - FRONT: PERMIT USE: LEFT: RIGHT: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 REAR: CONTRACTOR: Exterior Design Company PHONE: (509)- 747 - 7335 MAILING ADDRESS: 1816 South Maple Blvd. ARCHITECT/ENGINEER: MAILING ADDRESS: 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: