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1991, 12-12 Permit App: 91008580 Demo Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PAK ':" !-,-YA1ER: Q-1 61? /Z / O6 / Z CITY/STATE/ZIP: _ oLj�,.�i / w� 9J JapsuBDIvisio9 P ' BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF 17.ILDINGS: # OF DWELLINGS: t?_TE:: DISTRICT: OWNER: r,ci 4: /7 PHONE: - - MAILING ADDRESS: C= .Z y 3ic> 3 AZ? `yt.‘e__ i3oj- Gf 8'9 CITY/STATE/ZIP: Le,- �� L.���! L�� 7.3 p/ 9 CONTACT: �O 4,, 7'�i o r.v �i "// PHONE: _S-0, -0.53= 6 3 y SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: (49e'/te %eAy vv .fsc „dre. `G74ti ***************************+ ********************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: ,To 4, 7-4 0,,.,., 4/V/ PHONE: - - MAILING ADDRESS: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES : BUILDING DIMENSIONS: pZU X O L/ (WIDTH X DEPTH) SQ. FT . : REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: