1991, 05-15 Permit App: 91002615 Finish BasementSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: /_ ,.! �/ //75-/07- � S
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STREET ADDRESS: T 7b (/ p /171fitsLi jLL ftV
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CITY/STATE/ZIP:PO KenQ
KR -tit (41- t t L2
SUBDIVISION: ,r(/ /c( ,„0¢ . / 937
BLOCK: / LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER:
# OF DWELLINGS: WATER DISTRICT:
&/4 S RfsfAt PHONE:
MAILING ADDRESS: £ 74 e RL` 1..J ti
S27 U 5 7
CITY/STATE/ZIP: J fe Pr /74 aver 79 Zt
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: