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1991, 05-23 Permit App: 91002825 MH
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: E. CITY/STATE/ZIP: /4414! SUBDIVISION: BLOCK: LOT: Ai" ZONE: DISTRICT: LOT AREA: # OF BUILDINGS: F/A: WIDTH: DEPTH: R/W: # OF DWELLINGS: WATER DISTRICT: MAILING ADDRESS: 75ea `T CITY/STATE/ZIP: CONTACT: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: PHONE: A-47 — Of 9S'= PHONE: SOT - **************************************************************************** CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION 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: