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1990, 11-05 Permit App: 90005915 Sewer
Spokane _County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: (2--(9 e y(a-el CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: calcgid) PHONE: - MAILING ADDRESS: . S, 9z 0 7%6 4j,71C CITY/STATE/ZIP: 2e, F9-2/6, CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: o o.t a.1.5:5 -Ar? CONTRACTOR: �0�y-vim ��)G(_ , 7 -AC, PHONE: MAILING ADD R : e /3 c,72-0 Set Pere- 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: