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1990, 11-14 Permit App: 90006129 Sewer Spokane p County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET /\ PARCEL NUMBER: STREET ADDRESS: 3 3 / 2 -- 1'( RA"Y1/1/LS1a10 2 CITY/STATE/ZIP: SPO /41- SUBDIVISION: 04g71 '? 1-C4 OCC©m 0 BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: 51 _10 OWNER: 0 IZ LLL- C�? �NDi PHONE: l - 92k- ll41? MAILING ADDRESS: 25-A-21//1- CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: 5e4t1€2 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: e/4-S I O U*/1 Q Q f CONTRACTOR: VVs / �t`�� S'��eepc,C PHONE: 5-e - 92 Y- D X5-0 MAILING ADDRESS: -= • �or do � 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: