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1992, 04-28 Permit App: 92002881 Addition
Spokane County DEPARTMENT -OF BUILDING &SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: © 9s5/S/-- //0.3 STREET ADDRESS: // 7-2 V CITY/STATE/ZIP:S d.�io i' j l/�9• 99 2i d lv SUBDIVISION: BLOCK: 2 LOT: N3 ZONE: za- DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER:Eo,� L.4� /J/ �- �- Zj2. MAILING ADDRESS: 67//7,2./ CITY/STATE/ZIP: CONTACT: PHONE: So Q - 4'L / - O 7 7V Ad.:14d4.44 6 L 4 99 2-0,G PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** 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: