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1992, 03-11 Permit App: 92001460 RemodelSpokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: .4/220 CITY/STATE/ZIP: SUBDIVISION: BLOCK: 4 LOT: <d ZONE: DISTRICT: LOT AREA: # OF BUILDINGS: OWNER: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: F/A: WIDTH: DEPTH: R/ W : # OF DWELLINGS: WATER DISTRICT: GC /GSL_ PHONE: - Z2 - 726 9' S 5/z2 o % SETBACKS: - FRONT: PHONE: LEFT: RIGHT: REAR: PERMIT USE: /�L2 Q C/e-///7'�C///D--? **************************************************************************** BUILDING IN�FORMATION � CONTRACTOR LICENSE NUMBER: ��QGi[/ zC/� /% C:29VA-A-/ CONTRACTOR: /GvU / L/eS% n S A,c Z 2,#I PHONE: MAILING ADDRESS: ,e, /., o'7( //O ?3 ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: ,/ / (WIDTH X DEPTH) SQ. FT.: BUILDING DIMENSIONS: / ? x REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: