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1990, 05-03 Permit App: 90001860 Attach Garage, RemodelSpokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: b`7 6VV - /6 b ' STREET ADDRESS: /V aLi/ 7 ce/UTI CITY/STATE/ZIP: SUBDIVISION: / BLOCK: l6 LOT: SPoJ4GNe, tkA• isa/2z ZONE: DISTRICT: LOT AREA: F/A: WIDTH: IRO DEPTH: 56k) R/W: # OF BUILDINGS: OWNER: c-ol)N S # OF DWELLINGS: Kr9V WATER DISTRICT: PHONE: 50" - 9 g -,Qs5 yU MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: N (4-r 7 Ce,vTER__ RO • S&///9N-e. tv/9 PHONE: SETBACKS: / -- FRONT: � //j LEFT: 5 RIGHT: 6 REAR: /36 , PERMIT USE: / ((� BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: O w N e 12 MAILING ADDRESS: PHONE : 1-709 — 9,;2y4 — c25-90 ARCHITECT/ENGINEER: RiCh 9A) {9t%ivoo0 MAILING ADDRESS: NEW: DWELL UNITS: 1 PHONE: REMODEL: ✓ ADDITION: OCCUPANT LOAD: BUILDING DIMENSIONS: X REQUIRED PARKING: CHANGE OF USE: BUILDING HGT: STORIES: (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: GRRIne oC tteReD 0 1$Q' v I ceior efa R0