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1991, 05-09 Permit App: 91002471 Garage Spokane County • DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: 4- /Z5/,S 5,/y70EcJ /I(/t CITY/STATE/ZIP: S'OXArN/F WAV-4,k2,7-0^/ 2 ,Z/(o SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: `J(7 //i2 -M /V/ A&e._ w ohx/S PHONE: 3G5 -fes"/'/ - 925-8 MAILING ADDRESS: 1 /L5/5- _.5,47.10//i 1 ,4l'- CITY/STATE/ZIP: SPO/h4, /..,-1/4 /9z/6, CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: f PERMIT USE: 11-0U) O 60 ,? (.? SZi 1 BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: JO,4/ U/E/32oK ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: 0. ,53) 7.5/ ArE)7 44&S ! wA ` Gig/y/ NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANTJLOAD: BUILDING HGT: STORIES : LtBUILDING DIMENSIONS: f X (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: .......... ......,*---- — .....................—.............-.....................................................,-,..........................--- - .... ..............* —.... , I . 4) t 5 ' 7),.to rf co r aj E •Z A 7 L' X 2 1)—' 14 . ."• ...„, 4 cx , ..........______. , . . \ \ .. \\\\„ \ ,,,,,,,, \ „,•,, „ .„.,,,,, \\ \\ ,\\, \ • \ \ ''•,, N. , \ •••,. \ \ s• ,, N, ,,,,, - . . •,.. \ •,,,, ,,,,. •,, ••••., ., \ \s, \ , .kt:\\'' Vic> ,,, \•., \ ' .. . ,,,, • ,. \ \ ,....., \,,,, \ \ N •\., \ . . ... .. ... \. •,,, \\.,,, ,t_\,,, \ ... ,... ....*, ...c......-...)7...• • ..,.., \ N \ . \ '•„„ ‘.., . \ \ 'N . ‘s•t \ „.. \ \ N \ \ \'' \\, \\. ''.••••, \ \ , , \,. . \ \ \ \ '1\ 1. N. N. ... \ \ \ \ \\ \ \\ „ .. s',. 1.\ \ N. s, \, , ‘. \ \ \ \ \ \ -----...............N. \ \ \ \ \ , /11' •••• A.. )N Z 4. .._.... - .. ...-...-.–. ---.. D 7' lue • • - ......... .... ........--...-.-...-- • 1 ...-...........• .. ••••••••••........-..... •.• •-••• 1