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1990, 11-14 Permit App: 90006147 SewerSpokaoeCounty West ,303 DEPARTMENT OFSpokaneBUILDING &o 9) SA4FETY Broadway Avenue , WA 9260 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: CITY/STATE/ZIP: (Z0 OlogY7L SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:, OWNER: K(L IVV? L PHONE: ,T0q - 9i2e_ //P ' HAILING ADDRESS: Q )S So )1/1 11-72[ f nil CITY/STATE/ZIP: lit& 44(4.(,.4 NA 99a 37 CONTACT: /,� p�� 1 PHONE: -623- SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: S,MU4 e aft &9 `nt gr:75- ************************** BUILDING INFORMATION cf/ifJ' raa/r/ box es 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: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: