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1992, 04-09 Permit App: 92002350 RemodelSpokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: 45-,// /(-- CITY/STATE/ZIP: 5,o®/'' -i Lam.- / to°1 ?"-2-D‘ SUBDIVISION: tai i--d.i�r'e-G4.S BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: 9V0 --DEPTH: A5-0 R/W: # OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT: er"&,i,(v OWNER: �, j , f G r • 5' G PHONE: J? - % - MAILING ADDRESS: /////I', CITY/STATE/ZIP: SPi:Jra CONTACT: &//-IiD/Ljr / PHONE: ,6-4,1' -%?,%• - SETBACKS: - FRONT: j'7' LEFT: aS RIGHT: Y.S- REAR: G PERMIT USE: X,jr' , Sha **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: - MAILING ADDRESS: NEW: REMODEL: ,Y ADDITION: CHANGE OF USE: DWELL UNITS: / OCCUPANT LOAD: / BUILDING HGT: AY( STORIES: / BUILDING DIMENSIONS: "O X 6 Q (WIDTH X DEPTH) SQ. FT.:.A fW REQUIRED PARKING: / # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:_ "�: Ct �6 �eia¢r'�ss?i�i�`i '.� errs""Ex �t �. ����iv�ix !.f rfi �{A„�• ”""YAK @ey �v�.