1990, 06-25 Permit App: 90002945 Sewer Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: �d5'1� - /AP 2
STREET ADDRESS: S . 7P-A SLta Q.r l a A ni
CITY/STATE/ZIP: S po\(ay\_Q. vJ A gad (a
SUBDIVISION: 7 Do/..3�a.
BLOCK: p2 LOT: 7 ZONE: j• �G DISTRICT:
LOT AREA: F/A: �� WIDTH: /eV DEPTH: /$'? R/W: S7j
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: booId L ‘ `RGi'1Q L) . �rA ",;/ PHONE: 5,0q - _276 - Fos
MAILING ADDRESS: W , SO( S C rOSS C rke
CITY/STATE/ZIP: ] Q ( Park ‘kiA
CONTACT: PHONE: 5001 - 2.76 -g SO S
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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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: