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1991, 02-13 Permit App: 91000478 Reside, Remodel
Spokane County DEPARTMENT,OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: STREET ADDRESS: INFORMATION WORKSHEET O n n lle 51/ 3 - D a i yl`''rj, E /o 9o'3 /77A7-‘) -J CITY/STATE/ZIP: See /e , C / /,3j cmg 2 a 'p -S U I, SUBDIVISION: • BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: K7471r> /V- i/{>14 ,-10 MAILING ADDRESS: /0 90 9 »- , PHONE: GO - 2P5./ - 7r/lr CITY/STATE/ZIP: WC/9,-C (,%¢ 99,06 " CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: LJ/i_ z'c BUUILDING INFOORMATION 6 CONTRACTOR�LICENSE NUMBER: C7"00 itl Ye- ( - �- CONTRACrPOR: nig/ ? Cod Si- PHONE: Sod -W27-c%L- o7j- MAILING ADDRESS: &. /0O `%%d,J/jpt /<P / Cs?7b4y.% c.D$ 9900c ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: REQUIRED PARKING: X (WIDTH X DEPTH) SQ. FT.: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: