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1991, 01-22 Permit App: 91000214 Remodel
Spokane County ��e DEPARTMENT 0E4 -BUILDING & SAF E �� st 1303 Broadway Avenue Spokane, WA 99260 (50Th456-3675 PARCEL NUMBER: STREET ADDRESS: %c CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT AREA: # OF BUILDINGS: OWNER: HAILING ADDRESS: CITY/STATE/ZIP: CONTACT: SETBACKS: - FRON i : PERMIT USE: INFORMATION WORKSHEET LOT: F/A: ZONE: DISTRICT: WIDT$:��_ DEPTH:_ R/W: # OF DWELLINGS: WATER DISTRICT: LEFT: PHONE: RIGHT: REAR: ********************* "rJ?7ti *** ********************* ******************** *** BUILDING INFORMATION ,ONTRACTOR LICENSE NUMBER: =ONTRACTOR: (AILING ADDRESS: 1RCHITECT/ENGINEER: [AILING ADDRESS: NEW: REMODEL: ADDITION: PHONE: PHONE: CHANGE OF USE: WELL UNITS: OCCUPANT LOAD: __ IIUILDING IIGT:STORIES: UILDING DIMENSIONS: I (F7IDTII X DEPTH) SQ. FT.: SQUIRED PARFIi:G: t Eh2:DICAP: SPRI2tELERED• CRL1=CAI., MATERIAL: • N� • v o!,(, rlJ �1 4,2a..GG� U_ l-b!G /-,i(dh U Q� (7° c7a 6 / )30. • • •