1989, 09-12 Permit App: 89003328 Deck Cover-°Spokane. County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: / 5 4 (y/LH4y Az.
CITY/STATE/ZIP: 6 4 €N filo 5 WA'
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
4 OF BUILDINGS: 4 OF DWELLINGS: WATER DISTRICT:
OWNER: ti.- r Al �k /�r u iV PHONE: 2:22 Oa - / 9
MAILING ADDRESS: N , 1 3 /I dd/y /1
CITY/STATE/ZIP: a.c,&.0 /(C/te t uJA---
CONTACT :��r /f try)" PHONE:
SETBACKS: - FRONT: LEFT:
RIGHT: REAR:
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PERMIT USE: D --/) fJ
` - `1-p v I
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION:_ CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: /21( % Q- (WIDTH X DEPTH) SQ. FT. 37' -
REQUIRED PARKING:
HANDICAP: SEWER (Y/N): HYDRANT: