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1991, 03-20 Permit App: 91001126 Garage Addition Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: r _l 69 ev- ,�. CITY/STATE/ZIP: �¢ L: Acv-et. Z_ I (y SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: A 1. Y ( Ac a PHONE: — 2� — MAILING ADDRESS: `1 9 6 9 CITY/STATE/ZIP: CUe,,,,: .Qc,,c L•4 9 ci2, ( G CONTACT: PHONE: — — SETBACKS: — FRONT: LEFT: RIGHT: REAR: . 'PERMIT USE: • : • ..• . : , • • . • • • • *********************************,k***.*#*********,kir***#****#,kik*************** • • • BUILDING'INFORMATION .' • ; • • • 1 • 'CONTRACTOR LICENSE. .NUMBER: • • • • • '!`. CONTRACTOR: PHONE: - — MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: — MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BIIILDING HGT: STORIES: BIIILDING DIMENSIONS: I (WIDTH I DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: r . + PL GVQ< < � ,-<<( G<<. °124 5188 !7 1 0 CI I , 1 V« l.a)i1 I + a1-<Qa AcUes ., A" e1c121L i i •!,�8 S 7..'I L J 3 „.1 � / j_Xi3kG _ N�,a I �1S�LN I -1`-77 ,.T- . N, . • . . — - . . •:`f • ?) s1 • w -3 • • • 0