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1991, 11-19 Permit App 91007973 Re-Roof,p yea - D Ol a o$ ��tvA CST"'Cs, I I Spokane County av a DEPARTMENT OF BUILDING & SAFETY �� West 1303 Broadway Avenue Spokane, WA 99260 (509),456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: I—1Dgn( Fav rpt r'loc CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: T/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: OF DWELLINGS: WATER DISTRICT: OWNER: ll�¢IO 2X� //# lel "NCL PHONE: S09 -Q -7 'q-1 fo MAILING ADDRESS:- 1 cle, Drl L)/P CITY/STATE/ZIP: ttp//9 5 P6 L� P ��� 14 a O(A0la CONTACT: Dan Chambers PHONE: (509)-747 -7335 SETBACKS: - FRONT: LEFT: RIGHT: REAR: �r 1r 1 A BIIILDING INFORMATION CONTRACTOR LICENSE NUMBER: EXTERD*160J3 CONTRACTOR: Exterior Design Company PHONE: (509)_ 747 _ 7335 MAILING ADDRESS: 1816 South Maple Blvd. Spokane, WA 99.203 ARCHITECT/ENGINEER: PHONE: - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BIIILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.': REQUIRED PARKING:_ # HANDICAP:_ SPRINKLERED:_ CRITICAL MATERIAL:_