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1992, 03-16 Permit App: 92001569 Sewera u1f-a•as 9D- Isbl' � vEL twist') iso cs e � Spokane County 9a— ► s -i o - DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: S 5 0'F f Y SGL SNA. 'e r CITY/STATE/ZIP: aICa - WCk s Lao SUBDIVISION: Ld o L BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS:'11 # OF DWELLINGS: WATER DISTRICT: OWNER: W I i k 6 ► W` 4- ICunT k 400 Or ev,pHONE: SOS -Sae- a5 d / MAILING ADDRESS: ,S & vv, -'-e CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: 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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: