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1991, 04-23 Permit App: 91002007 Siding Spokane liountyp DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 ,/69 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: GA,,•\) HoSSu(to PHONE: - - MAILING ADDRESS:vC. /D 3/3 /0��t,� CITY/STATE/ZIP: s/OG A-moi. r 1.1&&4, 9.? 0 6 CONTACT: ' I- C t /u)/ 4 [, PHONE: - 6 J p'- 7se7J SETBACKS: - FRONT:/ LEFT: RIGHT: REAR: U PERMIT USE: iet �.�/ t, ) mid 6 (I, C4 v *eCO 4C ** **** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: #0/1674V? 17.(' II" DS CONTRACTOR: /44t3.f ft R� d df' PHONE: - - 7Y ') MAILING ADDRESS: /D 3 /C �; s�( c� r� p 7Ct.20 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: