1992, 07-21 Permit App 92005528 Re-RoofLLkot-k.a.l°lla e3
r f'(�`�� r�
go SpoicaPs County
DEPABTMEIT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
INFORMATION WORKSHEET
1612-3
CITY/STATE/ZIP: �Gj� ggo[-tl,,
SUBDIVISION:
BLOCK:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF T:UILDINGS:
OWNER:
MAILING ADDRESS: _ 5 , Al 001 Gr - ° r t. vim_
ZONE: DISTRICT:
LOT:
# OF DWELLINGS: WATER DISTRICT:
PHONE : p`) — CIvReC2— 3?B�
CITY/;TATE/ZIP:
CONTAc:T :
Dan Chambers
PHONE: (509) — 747 — 7335
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
***************************************************************************
BUILDING INFORMATION
CONTR :TOR LICENSE: NUMBER: 1;X I'1 RD*1.6OJ3
CONTR. :TOP: E
: P I
MAILI2•:c, ADDRESS:
i
n pF1I1 V
PHONE: (509) _ 747 _7335
1,1.vd. Spokane, WA 99.203
ARCHITECT/ENGTN1:ER: PHONE:
MAILI' ; ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS:
OCCUPANT LOAD:
BUILDING HGT:
STORIES:
BUILDING DIMENSION,,: X (WIDTH X DEPTH) SQ. FT.':
REQUITED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: