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1989, 08-14 Permit App: 89002809 Adult Home Inspect
Spokane County DEPARTMENT OF BUILDING & SAFETY A Division of Public Works INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: ,2 ,90.26 lett'I10/1vb ( j' N_,L CITY/STATE/ZIP: c5{'0Af�/YC /(},4- 9999D‘ SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: $ OF BUILDINGS: $ OF DWELLINGS: WATER DISTRICT: OWNER: 7).je r 7� 441 y PHONE: Y - Reg - 9073 MAILING ADDRESS: „,1 0026 / &/ - h CITY/STATE/ZIP: ,� .. A?.___, �%' e7 li CONTACT: ,lYi r) PHONE: 2O 9 - ge - 9.9 3 SETBACKS:�� - FRONT: LEFT: RIGHT: REAR: PERMIT USE: C�--et. 7 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: . 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: SEWER (Y/N) : HYDRANT: