1991, 06-07 Permit App: 91003163 Deck Cover.�
Spokane County
DEPARTMENT Of BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: E. 11103 Main Avenue
CITY/STATE/ZIP: Spokane, WA 99206
SUBDIVISION:
BLOCK:_•. LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF"BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: John G. & Margaret Boehm PHONE:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
PRONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
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: 1 HANDICAP: SPRINKLERED: CRITICAL MATERIAL: