1993, 04-01 Permit App: 93002042 DemoJ
Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
2057 07,
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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)
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CONTACT: +k i IcA1\l
. o f r i g PHONE: 51) `I — 4 2 6— 231)
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SETBACKS: — FRONT: LEFT: RIGHT: REAR: __•
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PERMIT USE:
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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: