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1991, 05-02 Permit App: 91002268 Sewer
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET / PARCEL NUMBER: /`/3 Z - Z-7 30 1,:).4-/-u AV (f� 4 STREET ADDRESS: E / /'/2-5 ,--Shqr L 36 CITY/STATE/ZIP: LCE6f 0 a) 4 M2 2 �o ( SUBDIVISION: BLOCK: t LOT: 3D ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: p # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: L'U . OWNER: l/1.,5�>f ! '<C1(YI PHONE: MAILING ADDRESS: G P/ 2 S' tt Y- CITY/STATE/ZIP: (/64'( j/ / V? J CONTACT: <2,'�f_Ce 1 0==c-on/I ' PHONE: 'COI - `.1) (Y) () SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** 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: SPRINKLERED: CRITICAL MATERIAL: