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1992, 07-31 Permit App: 92005961 Sewer
Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET aS31 PARCEL NUMBER: STREET ADDRESS: 1/0)57 . (: CITY/STATE/ZIP: k'"► " 9 1,-) / (C' SUBDIVISION: BLOCK: LOT: LOT AREA: F/A: # OF BUILDINGS: OWNER: ZONE: DISTRICT: WIDTH: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: Pel � iilitalaE q 457L L?d eu PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ****************************************************************************** CONTRACTOR LICENSE NUMBER: BUILDING INFORMATION CONTRACTOR: PHONE: MAILING ADDRESS: 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: