1990, 08-10 Permit App: 90003771 GarageSpokane -County
DEPARTMENT OF BUILDING. & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: N 57/S eU e_r V 4-
CITY/STATE/ZIP: SP0i-0- NSE 1/04 q t Z (L
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: '�-�}p/)0
OWNER: De -AM (C G, l --(fl 2 N l S 4 PHONE:.i0`/ - 9Z1 - 1 g3 s -
MAILING ADDRESS: / Cl/S- e0t i v/44 -e__
CITY/STATE/ZIP: .Po k-n)C; 1AJA- 5 q zt (�
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT:3- RIGHT: 7( REAR: /b
PERMIT USE:
k***************************************************************************
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:
)g X ja
(WIDTH X DEPTH) SQ. FT. :c4970
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: