1992, 11-09 Permit App: 92009928 RemodelSpokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
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STREET ADDRESS: L i ow
CITY/STATE/ZIP: ZO
SUBDIVISION:
C
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: 2 if OF DWELLINGS:
OWNER: T.2
MAILING ADDRESS: il( Qq (1) (
WATER DISTRICT: r ccK'i{Q�'\
PHONE: 6�(t — q?? —
CITY/STATE/ZIP: j �k�, 1� Lo / ( 7 0
CONTACT: PHONE:
SETBACKS: — FRONT: LEFT: -RIGHT: REAR:
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PERMIT USE: e. c.0dl4L / 1� 1
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BUILDING IIFORMATION /, 4
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: r) (,) i 1 t c PHONE: ST G — q?? — q t(S g
MAILING ADDRESS: 1(('`•c O ( ( et,/ J 14 � e t,-)4 cici 76
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL: iC ADDITION: CHANGE OF USE:
PHONE: Sec, — — c;'(/„S"--
DWELL
;'(/S
DWELL UNITS:
OCCUPANT LOAD:
BUILDING DIMENSIONS:
X
BUILDING HGT: STORIES:
(WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: