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1990, 09-17 Permit App: 90004667 Remodel
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue4Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: Ev, / 9/5' �-; ,j24 y%-c; e jd C.72- CITY/STATE/ZIP: .72_CITY/STATE/ZIP: „S, 7 p k4ii e ) 1()4 _ 99 z l� SUBDIVISION: Sa/A/ er crelic/ /1d de /An,/ BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: OWNER: 6-7Z-z, 11 ✓1 U• We loci/ - / IZer- PHONE: S"9 - 9Z2- 0 MAILING ADDRESS: , / 9/� cctim',,ei- c e Id C 7L.r CITY/STATE/ZIP: -,,ec" `,5, /4'„4a 9c7L/4 CONTACT: /#fe/e�y L ^ PHONE: J7 -ffcr- 7 gj SETBACKS: /- FRONT: LEFT: RIGHT: REAR: PERMIT USE: :6/-1400 w -1P___O—rv?a311-0( ************************************************* * ******* *4k��Q**I*I►** 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: