1990, 07-03 Permit App: 90003087 RemodelSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
Z6c' 7
PARCEL NUMBER: 775- y/
STREET ADDRESS: S, -34 t rc44q
CITY/STATE/ZIP: /p•n 1.1/b g % --6
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER: C® 9- .,'�.. a%�, %4 4
PHONE: .�'> i - y -
MAILING ADDRESS:
CITY/STATE/ZIP: 1240,.,,,,a._ ��,, r L _. 9 %ZJ�
CONTACT: F.V u r fvs- Pt -A.1,0.1,1 -4j PHONE :
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: Pe K 4 / 7 u /-
CONTRACTOR: 4/94,.,AtAr. fA3. Re w►,•1 aI e «' PHONE: S' J - P' -z- -2,2D
MAILING ADDRESS: S. Y/ o ,o42r A. /I d 4.4,-
ARCHITECT/ENGINEER: 4-4cti4 PHONE:
MAILING ADDRESS:
NEW: REMODEL: v7 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: