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1995, 11-17 Permit App: 95009636 Siding 1-1 l Z. (IP7 S g‘3 . WV tc5 Spokane County DEPARTMENT OF BUILDING & SAFETY Pi West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: 4=6-7,4/C �,.. .(:; e `~' d CITY STATE ZIP:-- ``"',``" -- i- f '.. SUBDIVISION: BLOCK: LOT: ZONE: - DISTRICT: W: LOT AREA: F/A: WIDTH! .DEPTH: R/ ' # OF BUILDINGS: 1 O DWELLINGS: WATER DISTRICT: - OWNER: � 1,044 �` / PHONE' �� � ,�. MAILING ADDRESS: t�/ 13{� 4- j'( CITY/STATE/ZIP: CONTACT: PHONE: - SETBACKS: - FR : LEFT: RIGHT: REAR: PERMIT USE s.=- l tifl , OP'7,;)C,:' « ,,..t ,,' /...4V4Z. BUILDING I ORMATION " CONTRACTOR LICENSE UMBER: 6-4k - L.. / 2) //' fr/t.,/ r CONTRACTOR:C� ,` *44, �. (1,- ,:i' , f t' ` PHONE: - vs.:„..? - 4/ MAILING ADDRESSu.-_- _ <- 4i ` - ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS:. NEW: REMODEL��JADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT:. STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: