1990, 04-27 Permit App: 90001748 Demolition Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: '3 / ./ s /LD /
STREET ADDRESS: `�.) 5 c ye „4-
CITY/STATE/ZIP: S 01 14' 2,,, 5 -
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
OF BUILDINGS: x OF DWELLINGS: WATER DISTRICT:
OWNER: y l A epSONE:
MAILING ADDRESS: /1 f62/___
c2/___ 41716) \s,tI lee
CITY STATE
/ /ZIP_ A 0._ 7-L / '7
CONTACT:
PHONE: 4-3:17.1
_3 -_
C Y ,
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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: X
(WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: