1989, 11-07 Permit App: 89004565 Demo Residence Spokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER:
r
STREET ADDRESS:
7 31 ja
t.
CITY/STATE/ZIP: ‘01a) /l
SUBDIVISION: 6 op 'm
BLOCK: Zc' LOT: z0 ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
* OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: PHONE: - -
MAILING ADDRESS: .
CITY/STATE/ZIP:
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: �.v1I )'(G usS -
****************************************************************************
BUILDINGnINFORMATION
CONTRACTOR LICENSE NUMBER: /26 �7 S a
CONTRACTOR: Ofwe ( lief d c l PHONE: ,f 9(- AP: c/V)/K
MAILING ADDRESS:
Ai LT 9( 2 Ke l -e o-<, Act -S/C .2'7 -1 -
(,/
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BIIILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH 'X DEPTH) SQ. FT. :
REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: