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ADDNF,ti,S• SPOKANE VA 99206
PCRMII USE.'. ATTACHED CARPORT
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ADDREZto SPOKANE, WA 99206
CONTACT NAM+,,," AM P4 Llr4 LINDA 11flONE NUMDERa 509 924 117A
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INFORMATION WORKSHEET
PARCEL NUMBER: a i v 1 3 — 9a - 9
STREET ADDRESS: S /6- /a SBO(DCaT t4(20
CITY/STATE/ZIP: 99'2`8 Spake.��e 1 W
SUBDIVISION: I
BLOCK: LOT: ZONE:g7h4 DISTRICT:
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LOT AREA:I O F/A: WIDTH: t.54 IDEPTH: 13C R/W:
# OF BUILDINGS: f # OF DWELLINGS: WATER DISTRICT: 274)e(( fro��a'�.
OWNER: Q L\ CA.kycla I in) PHONE: /SDS' - J 1 ?6
MAILING ADDRESS: 5 / S/2, W 00&cn.s eq4 6 - 0 Me -- ePAO
CITY/STATE/ZIP:
CONTACT: PHONE: - -
SETBACKS: - FRONT: 3D LEFT: .5 RIGHT: Q REAR:
PERMIT USE: < _4p1 kt
******************************************************************************
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: / 6 STORIES: /
BUILDING DIMENSIONS: / O w X a$ f) (WIDTH X DEPTH) SQ. FT. : S-0 ,-,/ r
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:
Lot Cost
ens.. PLOT PLAN 'r.-• (i O 0, d°
41 6- S / 0
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ELEVATIONS:
(!-_IL-C)) S Crown of Street 4 O
Finish Floor / ' ,2 -
L4)000/
cale:
asic: Sq. Ft. Legal
19liS 7ciy N. LS ' oF63. /30 ' S . )35 S.i Py SCYq SwyLI
lodel : Job # Address
i a4 63 ;S . f51 U0o0/4.,4,d
iortgage Co.� - . )„,,,,,4__ Parcel # Backwater Valve: Special Items:
2/583- W;/ tie c..
ower Co. Water Co. Garage: Front Alternate:
w -p rvz)0'4X Zr-,,. None.. ll 1 t d c l R -
lumber Excavator Sewage: Fire Place: -
'r\4,1- '' 11S w,S1- (Ailey S. / . 0 NC___
NWCS FORM 4 L-7