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1993, 03-24 Permit App 93001791 Re-Roof Void
Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: () f't R1/ PHONE: / r^ MAILING ADDRESS: E 1 1 f5 ii7ii, CITY/STATE/ZIP:? CONTACT: PHONE: -q:ZZ -/ 25 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: /232� -- Roo ******************************************************.************************ BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: Oldb7e(...TAI MAILING ADDRESS: > > I (/ 1-/) PHONE: 5) _ y — 7G 5 % llf '7gzch c U 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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: