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1993, 04-01 Permit App: 93002042 DemoJ Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 2057 07, # $2Ya INFORMATION WORKSHEET PARCEL NUMBER: N \ } STREET ADDRESS: �! Y 07 t C V oV.G I cl CITY/STATE/ZIP: 57 alc, he SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: • F/A: WIDTH: DEPTH: R/W: t OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: 1'\t \KQ \HGrr; 5 PHONE: SU l— el16 - ZSOg MAILING ADDRESS: N 1-1401 i c-- o al ri CITY/STATE/ZIP: 5?iskelv.Q- L1Dc 1 q CI 1- I t) I� CONTACT: +k i IcA1\l . o f r i g PHONE: 51) `I — 4 2 6— 231) C SETBACKS: — FRONT: LEFT: RIGHT: REAR: __• ,� PERMIT USE: OA :-1-1 uh leis/eieieie******ic*ieieieielkfcicie*ihie***ikie***************icrticlFlklklclFtklk*ticiF******ic************ 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: f HANDICAP: SPRINKLERED: CRITICAL MATERIAL: