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1991, 06-25 Permit App: 91003648 Relocate Garage Door _Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: lt51,7 0 4 . e,„/e.7 STREET ADDRESS : ‘9r',f'`v s' CITY/STATE/ZIP: 7 `,i // --.;4;;;07C9 4:2 SUBDIVISION: f✓ g- � t� ,/,9,-"e; BLOCK: / LOT: / ZONE: DISTRICT: le LOT AREA: f,,p4 _ F/A: WIDTH: C DEPTH:75-0 R/W: # OF BUILDINGS: `y # OF DWELLINGS: / WATER DISTRICT: Mp e OWNER: i!}r'G': i\/ ;:-/r'r °' PHONE: MAILING ADDRESS: `) ,, [ -`/‘ f/ t , 't j-",/ , /1. CITY/STATE/ZIP: ,^: /_,._A, :, r- J C.-'/ icy CONTACT: N...7,7:471 / ,o 4; PHONE: - �- Q SETBACKS: - FRONT Lj(O EFT: 4(,1IGH REAR: PERMIT USE: (?77C) , ar A :4 (rt `'`,,,,; " **************************************************************************** BUILDING , INFORMATION CONTRACTOR LICENSE NUMBER: e�J (, a4J C J on PA f� CONTRACTOR: A' (4� ��� PHONE: /ct7— d MAILING ADDRESS: 17 , Z(� ARCHITECT/ENGINEER: ---74,--„u„ PHONE: - - MAILING ADDRESS: / C` NEW: REMODEL: ‘--/ADDITION: CHANGE OF USE: 1 �l DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES : BUILDING DIMENSIONS: X =' (WIDTH X DEPTH) SQ. FT. REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL :