1990, 03-06 Permit App: 90000761 RemodelSpokane aounfy - •.:�
DEPARTMENT OF BUILDING & SAFE'S
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET /2,5 3 - ,3 V/
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PARCEL NUMBER:
STREET ADDRESS: 5 74'�(-, CA R L l S G E
CITY/STATE/ZIP: SPOT; At Nei W A 292 t2.
SUBDIVISION: CDG EA i O /'- 1 s%
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: V /NcaNT J. 6 Cgete7-
PHONE: 4077 - /�6 - 74666/7
.MAILING ADDRESS: f 7706 CAR C i CL(
CITY/STATE/ZIP: Coaly 1t,me kVA Qlz/ 2
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT REAR:
PERMIT USE:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE:
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL ADDITION CHANGE OF USE:
4
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES'_,__
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: _
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT ____,