1989, 08-28 Permit App: 89003033 RemodelSpokane'Coiunty
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: /tJ /.Z 1 S ISO e '4 j RG.
CITY/STATE/ZIP: S Po J(q ►rf .e (0 1 - q e/o L
SUBDIVISION: //1 f S S t d Jr?
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: C '1 4 RL ES kf S2MMCj PHONE: 9 - 7'24- 0b ‘C,2 --
MAILING ADDRESS: A/ / ;IN 1 5 13 D e Pr
CITY/STATE/ZIP: spy A pi .2 w 4- 172
CONTACT:
PHONE: ,coq - d �S2
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: flex-locYe( )'2,! %)ii/J
ot Cot- 17
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT: