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1991, 02-14 Permit App: 91000503 Demo Residence.„Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET 16621 -D) -0-5z:7 STREET ADDRESS: 2E /LI g aAA_ CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: # OF BUILDINGS: OWNER: / 2 WIDTH: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: // PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: WO/SP "k53,, fiQ CONTRACTOR: di.„: 6 p PHONE: -.VII-059/ MAILING ADDRESS: %Gly) 610uHa�� al- -- g r^Q7/!� ARCHITECT/ENGINEER: PHONE: i 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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: