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1992, 06-26 Permit App: 92004798 Sewer
Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: S `tel c r06_4/7-6,.25( CITY/STATE/ZIP: _ 2LJ4lv��/�'' �@r— �qco SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: 1 OF BUILDINGS: OWNER 1 OF DWELLINGS: WATER DISTRICT: (ot-k PHONE: 47 -?2- - 1/4-7,0 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: - PHONE: ge7; _j - V/ 74 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: _r rt9 fa LLQ{ coo jL_ 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: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: