1990, 05-02 Permit App: 90001816 MHSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
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STREET ADDRESS:- N111A
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
It OF BUILDINGS: OF DWELLINGS: WATER DISTRICT:
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OWNER: PFiOivTE: - -
2`,AILING ADDRESS:. J 1 y G Ie
CITY/STATE/ZIP: S,py,,4_/,g,-
CONTACT:
PHONE:
SETBACKS: - FRONT
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LEFT: RIGHT: 5
PERMIT USE:1-0--
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PEAR:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL: -- ADDITION:
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PHONE: - -
PHONE: - -
CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTii) SQ. FT.
REQUIRED PARKING: iiANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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