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1991, 06-25 Permit App: 91003650 Remodel Spokane County y DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: "9 � ' o Q / '� STREET ADDRESS: S c7/C) ✓l/v� 'f` (/ zf'' CITY/STATE/ZIP: j kit; j , 9 v U SUBDIVISION:_Z 1U, -,ef/ 17 BLOCK: / LOT:/—2 ZONE: DISTRICT: 1 LOT AREA: ��476) /A; AIDTH: 57� DEPTH: /Ito`j R/W: # OF BUILDINGS: c7Z # OF DWELLINGS: / WATER DISTRICT: �8v,_ AzA7 OWNER: �i^1j ti l� Y. r (...,-v.: t( PHONE: MAILING ADDRESS: r tyC^ ? CITY/STATE/ZIP: __ ` _) 4 , v CONTACT: \.77,7^1,,t AJ .!" PHONE: L3- 4X/S-74,-4; v X/-7,-4; ( SETBACKS: - FRONT: S. LEFT:oS RIGHT:30 REAR: ~ PERMIT USE: L �t��✓ � L CIA 1C-0r. t/ �r% / ***ttlr********************* ********! *************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: (?/(J)/tJ'( c /00 d/1 ams /, e,60,-./V ,;(4-c. CONTRACTOR: � _ Iwt4c7 3', �/6",_ PHONE: S�j - 7k/ - l Z53 C) MAILING ADDRESS: I LAi 14- 926 ARCHITECT/ENGINEER: 11.2S-1,10.—- PHONE: - - MAILING ADDRESS: (Ov NEW: REMODEL: ADDITION: CHANGE OF USE: 7-(\-;) DWELL UNITS : OCCUPANT LOAD: BUILDING HGT: STORIES : BUILDING DIMENSIONS: tzlr x (WIDTH X DEPTH) SQ . FT. : � Q REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: