1989, 08-30 Permit App: 89003114 Sidingort,
Spokane County A 0 aic2
DEPARTMENT OF BUILDING & SAFETY L
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: / ( ( - /
STREET ADDRESS: S H/)c
CITY/STATE/ZIP: 4-04a
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SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER:
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MAILING ADDRESS: SA -DO t -Lyt-c o-c�
PHONE : 5c 9 -9-24/ -
CITY/STATE/ZIP: 6f'04._a_ X_e ( JA 06
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: 5� Sid/ 11q zp ] 7CL�GC-GU
***************************************************************************
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CONTRACTOR LICENSE NUMBER: M AC ' % 7 )E
BUILDING INFORMATION
CONTRACTOR: d Y l ((%/af &O/! Q__J
MAILING ADDRESS: j
ARCHITECT/ENGINEER:
MAILING ADDRESS:
3ice,Qh
PHONE: SL' % - 17164L,
PHONE:
.10
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING HGT: STORIES:
BUILDING DIMENSIONS: % (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: 4 HANDICAP: SEWER (Y/N): HYDRANT: