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1992, 11-02 Permit App: 92009633 Remodel. Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET //5/&5 / 0 PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT AREA: if OF BUILDINGS: OWNER: ,S. /�/_0i4Kd4. , A/ L / B3 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: LOT: F/A: ZONE: DISTRICT: WIDTH: DEPTH: R/W: if OF DWELLINGS: WATER DISTRICT: / ✓ . , 1 . �.i - c-/� l � / %/J PHONE: A'or - 9.2y - ‘;‘/l. PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ****************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: O(,r/P--e-� CONTRACTOR: MAILING ADDRESS: ,z --D PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ✓ DDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: if HANDICAP: SPRINKLERED: CRITICAL MATERIAL: