1989, 08-23 Permit App: 89002962 Wood StoveSpokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP:
INFORMATION WORKSHEET
5/d03 I1'Do"vet
JSP
SpOkapue
butt. g' 9o2 /
SUBDIVISION: S n e A u/ /il
BLOCK: f LOT: / ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: /5-0 DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT: (/e /e G{
OWNER: Jo L N F. AMS 71r ✓t/
MAILING ADDRESS: 5 /a O 3
PHONE:
(CI f3oN4/o/
say - ?0W - er02
CITY/STATE/ZIP: Soo /e a rV P Lu
CONTACT: W k
PHONE:s og - Yr? - r/o t/
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: (0000,1.54 6 Z
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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: % (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: