1994, 09-14 Permit App 94008964 Re-Roof VoidPARCEL NUMBER:
STREET ADDRESS:
opt- 89it4
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
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CITY/STATE/ZIP: Sy7 c k£ G %A ('C(2
SUBDIVISION:
BLACK: LOT: ZONE: DISTRICT:
LOT AREA: - F/A: WIDTH: DEPTH: R/W:
f OF BUILDINGS: 1 OF DWELLINGS:ZWATER DISTRICT:
OWNER: vo r, A- � r S Mae l C i' PHONE:
MAILING ADDRESS:
CITY/STATE/ZIP:
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CONTACT: 0 Ca �� L c z r S PHONE: S°( -/ a 6- o z 1 q
SEnsACKS: - FRONT: LEFT-- Maxus: REAR:
PERMIT USE: e_ ^ oo ( AG
BUILDING -INFORMATION
CONTRACTOR LICENSE..NUM3FR:. _ / /' S Eiint.. 12_3 1c
CONTRACTOR: 1.5 c (G 141 cy .e`r5 - --Inc_.._. PHONE: S- a `r %21> -o 2 ci q
MAILING ADDRESS:ST itiZ /- 8 .. Po .h ck 0 4 c1J k S p-aica 14 < w k 9 J' Z C, L
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: t HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Tax # 601 083 702
Wise 'N Meyers Const. Inc.
S.4218 Pondra Dr.
Spokane, WA 99206
Phone 926 0297
JBI NUMBER
601 083 702 001 EXPRATION DATE
0002 05-31-1995
WISE 'N MEYERS, INC.
S4218 PONDRA OR
SPOKANE WA 99206
TAX REGISTRATION
INDUSTRIAL INSURANCE
MINOR WORK PERMIT
UNEMPLOYMENT INSURANCE
4— DETACH TO DISPLAY CERTIFICATE
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
GENERAL`
- REGISTRATION NUMBER,.
' EYRRATION DATE -"
01
• WISENMI123KW
05/I3/V5
EFFECTIVE,DATE'
,05/16%38
wisE N,_NEW RS'INC;
S 1218 PONDRA DR
!a SPOKANE - HA 99206•
STATE OF WASHINGTON
L DETACH TO DISPLAY CERTIFICATE __1
Mark the "X" in this
box only if there is a
change to Employer
Identification Number
(EIN) or Name.
See Instructions on
page 1.
BANK NAME/
DATE STAMP
os
Es
F6252052-000(3-92I fj
EIN 91-1411580 200412
WISE N MEYERS INC
S 4218 PONDRA DR
SPOKANE
WA 99206