1991, 05-13 Permit App: 91002519 Addition Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: 4/6/y, ,rJ I! r jer
CITY/STATE/ZIP: „S,00%c44 , /$Jc-
SUBDIVISION: ,E V/7 l=//'ST 4L7L2
BLOCK: oc LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: TxfF,Ur Wong
OWNER: D I c k 1/4,,,, R e i/e PHONE: L;02 G -_'2 - 7k
MAILING ADDRESS: </6,/ (/
CITY/STATE/ZIP: ��ccv�H , (�14_ 9 2,1
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
2�L5PERMIT USE: �� x / 6 l
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
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:
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