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1991, 03-05 Permit App: 91000868 Remodel • SpokanoCounty DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: 55071 . 014-61 STREET ADDRESS: (8016 '�. tVEgv40e/ CITY/STATE/ZIP: / WA a°I O t b SUBDIVISION: T "A 6reffiAciaEs Iro6N- 7ON DlsnzrcT(see N04 Alf' PL'd- C71 : �: BLOCK: LOT: ZONE: DISTRICT: LOT AREA:0,% Ac. F/A: WIDTH: 74' DEPTH: a./(91#: R/W: ye5 # OF BUILDINGS: go # OF DWELLINGS: 1 WATER DISTRICT: aRc ►Ac E5 OWNER: Ma.AgiE A. •KCJAPPF PHONE: �°I - `I22 - 3831 MAILING ADDRESS: 1801b 5. R.t vvRW4Y CITY/STATE/ZIP: 6126EENACRE-5 i WA /10lb CONTACT: MMCkN IE PHONE: 6,11 - qZZ - 5f3.31 SETBACKS: - FRONT: dft• LEFT: 7 RIGHT: / REAR : IWC PERMIT USE: /7"�`Ti is /��Cr is'� ��'�r - /- j%I' **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: 1 0 rgAC- AZ- OCeD. CONTRACTOR: N/A PHONE: N/A - - MAILING ADDRESS: K�I� ARCHITECT/ENGINEER: tJC*JE 0444P SlgePrPHONE: -FfeAm PecOmeP 15`I Vecr VeMPpp MAILING ADDRESS: A/1-k) is Lice..6ED GimeCIVIL7) 1)4 MSA NEW: REMODEL: X ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD:= BUILDING HGT: IloTT STORIES: I AID# restigut,ilietr BUILDING DIMENSIONS: 57 ' x SBS (WIDTH X DEPTH) SQ. FT. : I500 REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: ' _--- 1 i V fit( Ra r A ;:?,Ov '1 N f� 5t' 1419(Y6 1' 22' -if j i/VT111 n, 11/1 - ') ' A 4 ,4 th , ► �1i 1,, , 14 ,, ( , . 1cii • Iv 30 -,-)i-,q„) _I, -c ii4, 4, \n, 1.'q °\ rP:t'r--/ _ csN_ \ v :l 40 ea%wen-IS \ \ p'bke, walex N, _g 1 1 %41 s IOLi &k1 SiTE MAS . _ i