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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 /V V . ►303 % . 9b 1(4 C Q-td is o 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: ewe 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