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1992, 014-10 Permit App: 92002392 Sewer
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER:72.5 - ,3 P 9 STREET ADDRESS: .S. 3,/ CITY/STATE/ZIP: r? �� , SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: PHONE: — — MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: — — SETBACKS: — FRONT: LEFT: RIGHT: REAR: PERMIT USE: t**************************************************,e*******r**************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR:r%__ MAILING ADDRESS: /pc), x.9D>- `tom' #2— /-CA✓a 6)"?../G2, 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.: i�,"/7S7C ;k / ?..2A7/ PHONE : — r2 — 1, S-3 REQUIRED PARKING: # HANDICAP:_ SPRINKLERED:_ CRITICAL MATERIAL: