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1990, 05-31 Permit App: 90002423 Wood Stove• Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: // ' ' )6 /7/4(4 CITY/STATE/ZIP: C � ( �-�� L j r( SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: OWNER: 400 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: WATER DISTRICT: PHONE: - �2A - «cs? PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** CONTRACTOR LICENSE NUMBER: CONTRACTOR BUILDING INFORMATION c c)r)a Q L lfl /3 (6 -c -A PHONE: - - c) c_G ;�o lig MAILING ADDRESS: 4//7// 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: