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1989, 10-20 Permit App: 89004190 SewerSpokane County DEPARTMENT OF BUILDING & SAFETY A Division of Public Works INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: ISSC/y- /1/O4 20-2_ /7 LA. /c€ SUBDIVISION: t)7 ?/-F BLOCK: 129 LOT: 5tf. ZONE:/by/AL DISTRICT: LOT AREA: F/A: WIDTH: J, 3 DEPTH: /90 R/W: 6/t # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: PHONE: - - MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION pees `,7,4//4-sn CONTRACTOR: et L' �C S p /G-vK 6 MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: PHONE: - 52 c/- /o 90 NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING DIMENSIONS: REQUIRED PARKING: BUILDING HGT: STORIES: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SEWER (Y/N): HYDRANT: