1991, 06-07 Permit App: 91003162 Patio CoverSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, Wil 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: E. 11105 Main Avenue
CITY/STATE/ZIP: Spokane, WA 99206
SUBDIVISION:
BLOCK:..•. LOT: ZONE: DISTRICT:
LOT AREA: F/A:
# OF BUILDINGS:
OWNER:
WIDTH:
DEPTH: R/W:
# OF DWELLINGS: WATER DISTRICT:
Fred & Ann Nicholas PHONE:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
PHONE:
SETBACKS: - FRONT• LEFT: RIGHT: REAR:
PERMIT USE:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: _ CHANCE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGTI
STORIES:
BUILDING DIMENSIONS: • X (WIDTII X DEPTH) SQ. FT.:
REQUIRED PARKING: 4 HANDICAP: SPRINKLERED: CRITICAL MATERIAL: