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1992, 04-08 Permit App: 92002300 Sewer
Spokane County veic'can_ DEPARTMENT OF BUILDING L-1 ( West 1303 Broadway Avenue Spokane, WA 99260 PARCEL NUMBER: INFORMATION WORKSHEET qc2 & SAFETY /Le (509) 456-3675 STREET ADDRESS: AS?' 7&/"/75 (7,77 CITY/STATE/ZIP: / te4L-/ SUBDIVISION: BLOCK: LOT AREA: # OF BUILDINGS: OWNER: c / LOT: ZONE: F/A: WIDTH: DISTRICT: DEPTH: R/W: # OF DWELLINGS: / MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: WATER DISTRICT: PHONE: PHONE: SETBACKS: - FRONT: REAR: PERMIT USE: **************************************************************************** BUILDING INFORMATION LEFT: RIGHT: CONTRACTOR LICENSE NUMBER: CONTRACTOR: ,# /5 (9/2 57///c7//2 PHONE: MAILING ADDRESS: //5-- 7i ---A/4 (77-e twe-te-76K ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: PHONE: ADDITION: DWELL UNITS: OCCUPANT LOAD: BUILDING DIMENSIONS: X CHANGE OF USE: BUILDING HGT: STORIES: (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: