1990, 08-27 Permit App: 90004204 Sewer Spokane County
DEPARTMENT 6F BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: _ -7Q 3 t e e / e r
CITY/STATE/ZIP: SA /r'q r -e t o
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: _ # OF DWELLINGS: WATER DISTRICT:_
OWNER: //W G r 9, f / e V G y PHONE• - -
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION �t� ( ' e j
/
CONTRACTOR LICENSE NUMBER: tJ
Q/(3:6--(_
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CONTRACTOR:
PHONE - -
MAILING ADDRESS: P, ô , � jc1
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: