1990, 10-30 Permit App: 90005789 RemodelSpokane. County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: 6 4' 2 " 116(,
STREET ADDRESS: S, 4/31.- ?®h cir a
CITY/STATE/ZIP: S'P o h / W f1
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT:
OWNER: M a r/< /- u. n yt a
MAILING ADDRESS: Sa -e
PHONE: SCS % - qa 7- O 9,70
CITY/STATE/ZIP: 5 a we Q
CONTACT: Mark f PI ti ei .
SETBACKS: - FRONT: LEFT:
PERMIT USE: Re_uti a d / O1
************.**.**.....*! * , ��***** 44/1
PHONE: .So'j- 9 ? - a°/4'O
RIGHT:
REAR:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: r l -A S ` l c D. QS
CONTRACTOR: D r D. Fa SIA &tt4 - E
MAILING ADDRESS: h D ►30 L// ?7/
PHONE: 5 O y - q - a- L/ `//
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: 30 X / / (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: