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1989, 11-16 Permit App 89004751 Re-Roof
Spokane -County DEPARTMENT of BUILDING & SAFETY West 1303 Broadway avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: /3 J 3 /1/.� ( S DJ CITY/STATE/ZIP: p7 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: 4(2 I L7iV PHONE: - - MAILING ADDRESS: / 3 / 3 /— c-L-4 S ,� CITY/STATE/ZIP: S —Z:) /� //61c--1/0 CONTACT :g-ef ��- PHONE: 1 -922 033 9 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: g(:—/c) /L‘ ******************+tit******************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: C' (' CA) - l 5© A: CONTRACTOR: (e A) %% a PHONE:.58ff 9V2- )2_2-d MAILING ADDRESS: Ci /) a 6/7 5xe�'� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL:/ ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: