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1992, 01-21 Permit App: 92000337 Demo
Spokane County DEPARTMENT OF BUILDING& SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: •0% STREET ADDRESS: S , lie 6ezud CITY/STATE/ZIP: '. SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: 1b "C1 /c cJ , PHONE :.07 - y - / �5 MAILING ADDRESS: Ac.i�TC7/°J .&L)6 ze'TE_ CITY/STATE/ZIP: �pt1/c A1Isl,c / 6,22q, CONTACT: ,2)AA (//4?/I: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: Den/104, jTy /Z/ **************************************************************************** CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION 1_//P,*) D,2 /6(7 k) CONTRACTOR: L, /1 cbtc, ?OC //'/eW ZW, PHONE: MAILING ADDRESS: 57A5- 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: