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1990, 03-16 Permit App: 90000907 Remodel Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: I v 0 /7 7.SL1t ( t y � CITY/STATE/ZIP: Cr ree v1 GY GU^e S WA 99016 SUBDIVISION: BLOCK: LOT: ? ZONE: DISTRICT: pp� i _ / LOT AREA: F/A: WIDTH: - 0O DEPTH: )50R/W: - # OF BUILDINGS: 00 # OF DWELLINGS: I WATER DISTRICT: tie (-a OWNER: 1 ( V✓l Lacy 1 PHONE: ?©Q - ?"Z7 m/Q 77 _MAILING ADDRESS: Air /0/7 iSLtt cv (e-y (- CITY/STATE/ZIP: &TeenC2c=Y2t �A / 9901� CONTACT: 7;:i44 CA ry / PHONE: 5'09 - g'2.7 - /0 7 7 SETBACKS: - FRONT: LEFT: RIGHT REAR: TS PERMIT USE: /- 1/-r/S 11 ?O© O ********** ***** **************************************** ********* BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: - NEW: REMODEL ADDITION CHANGE OF USE:- 4 DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:_ BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: