1991, 05-22 Permit App: 91002805 Demo Residence Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA' 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: /lj�lyd - /e2 D�
STREET ADDRESS: iJ(f V vFiecy�E�
CITY/STATE/ZIP: 064n/a (1)/51
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W: yj
# OF BUILDINGS: ��# OF DWELLINGS: WATER DISTRICT:
OWNER: k I ON/7� U'/7 boo ie E PHONE: 2O(- ( 2' - / 9 d
MAILING ADDRESS: f 8(3 V Sap
CITY/STATE/ZIP: won E v L.fl . s'76
CONTACT: „5101)4E, PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: �f/17OL/ T/7/0 /e&S/Dir/ -/fqL I/Das E
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: L,-e50 /G G/ PO
CONTRACTOR: L ' JRSO S 0 j77 /T/HONE: -S-O/- 5,&5= 296-/(/
MAILING ADDRESS: G , /S6S y
ARCHITECT/ENGINEER: �/ PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS : X (WIDTH X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: