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1992, 10-19 Permit App: 92009077 Propane Tank, PipingSpokane `County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: 177 STREET ADDRESS: / 79/3 G. Cff-779-c.,60 CITY/STATE/ZIP: ,Si4DKPIrt/ , CAMS /1 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: O9VSL-11) CONS% 0e"770m) ZA/C. PHONE: - 4Ct 920 MAILING ADDRESS: S. /DD(. el/da) N'T 61n9 CITY/STATE/ZIP: L./49/0-7, LI4'f'c t,h/M-{ �j' `jO/� CONTACT: /442/L 'TL1klscF70 PHONE: -'x,rt - 5 2/) SETBACKS: - FRONT: LEFT: RIGHT: REAR: ser aro pw'to& ,aeo✓P 9tovNe ,.2op,o.vB 1 *n)K 041011/A PERMIT USE: Apr A e—>e/Si /n/ f S571+B out - CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION PerEo 6S /a /e» n /h//CCr /liaJwey CONTRACTOR: C7,POGArvE GAS sds✓LU, &e PHONE: - V- 03,37 MAILING ADDRESS: 6 %e20) /O4o4Au/Ay 5/00 f{,4-tJcr , CA/47- 9Pa/2 ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: % 1 (WIDTH X DEPTH) SQ. FT.: HANDICAP: SPRINKLERED: CRITICAL MATERIAL: 6onmearte _ _ E-,4197.840AAWhy_ 1614E ituarli 4T9a,z S3 Li m-r3,3 (nteeThemia,_‘:_rj _ardiase.To_ti €103__ _ _ - _ — /90. ekren Jo 90 ati),C La/trei </a- '7/, 4/08/th- aSjrie ' ALVA- z-c-nAce.1) too