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1991, 04-22 Permit App: 91001988 Siding1 Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET 1-7541 -toe STREET ADDRESS: /3 n 8 !V Re.IfS POI CITY/STATE/ZIP:j p©k a yy c SUBDIVISION: Lc�A 797_12 - BLOCK: LOT: ZONE: DISTRICT: "i LOT AREA: F/A: WIDTH: //03 DEPTH: ISD R/W: LAO # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: r ef(c Y / t c3 e r S PHONE: - - MAILING ADDRESS: J CITY/STATE/ZIP: CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: Std I h BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: /,015 E N NIT 17 3 /C Lo CONTRACTOR: 14 )Ice 'N /ne n, _L n e PHONE: - 9Z4 - 019 7 MAILING ADDRESS: E 7 9(,x, (-t a r r h3 l b l� ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: