1993, 10-08 Permit App: 93009043 Propane TankSpokane*Comity
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
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PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: /v) /// ro ((4 l�r (4
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SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER: /epp) Waele4 J
OF DWELLINGS: WATER DISTRICT:
MAILING ADDRESS: /t'. /// leg Afi'//t?ta
CITY/STATE/ZIP:
PHONE:
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CONTACT: AO /r.D,d e4.. JT
PHONE: - 9a6 - Avg
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
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PERMIT USE : /too K / Nip Lf» 77 N9 s i'e Ovr te4 j 77NNer4 4,41.e`D 40,0, e
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: /1'iiee / *4- /ene"
CONTRACTOR: /�f1 Q./9i� / 11 n[gC4,ve"
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MAILING ADDRESS: dO7 Aea9 Li 6-7691-14%., / 4r¥ 9'701/L
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING IIGTS STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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4— DEMOB TO DISPLAY CERTIFICATE
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DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTI9ES THAT Tog PEI:PAH HAMED:HEREON IS REGISTERED AS PROVIDED BY LAW AS A
STATE OF WASHINGTON
F625-052-000 (3-02)
t_ DEMO' TO
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