1990, 10-01 Permit App: 90005017 SewerSpokni a County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: S / ( 0 7 C' J eY (i
CITY/STATE/ZIP: c p (� ,�, Lc� /� C/° p2 0 (
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
$ OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER: C r U \A. 71-70(...0 r PHONE: -
MAILING ADDRESS: S - / 0 7 f J e_r c, a_
CITY/STATE/ZIP: Sdo �%j� e (� /� p
CONTACT: J' j v -7 /l/ e IS E' L j PHONE: - jol� - G O 7 7
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: .\- C H� e
****************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: V
CONTRACTOR: V _ (- TT PHONE: 'i () 7
MAILING ADDRESS: j�7/,"1-Lirip��q 7
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGTt STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: