1992, 09-09 Permit App 92007390 Re-Roof VoidSpokane County \V
'`q) DEPARTMENT OF BUILDING & SAFETY ?g"'
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCET, NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
INFORMATION WORKSHEET
i o s cA D 't`P_1r v-'7 1(` ►. c ��
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER: (--- ,�5 (� 1 e� PHONE: r d? (Loss
MAILING ADDRESS: ) (-)Sz(-)
CITY/STATE/ZIP:A..p i ,( ^)
CONTACT: Dan Chambers PHONE: (509) — 747 - 7335
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: t?,,IP-11N044 Avim fLA/v 3 / h
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
EXTERD*160J3
CONTRACTOR: Exterior Design Company
MAILING ADDRESS: 1816 South Maple Blvd.
PHONE: (509) _ 747 _ 7335
Spokane, WA 99;203
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.:
REQUIFED PARKING: # HANDICAP: SPRINKLERED: ..CRITICAL MATERIAL: