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1990, 08-27 Permit App: 90004225 Sewer Spokane.C)nnty ,7 7-9O DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET �E,„ R � Pft127 PARCEL NUMBER: asy3_ 23Da STREET ADDRESS: £ `ay.2a /7 ' /9/4:- CITY/STATE/Z I P: 9/4:CITY/STATE/ZIP: C+r0,�,S,,V4 WA 99070 SUBDIVISION: C/ BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT: OWNER: �_ z PHONE: - SL./I/9 PeW/n rr MAILING ADDRESS: //&/& &' /57v - CITY/STATE/ZIP: C, //e4AMEJ CONTACT: (/, y ,F i/$ PHONE: So 9 -07,76 - Q330 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: SEIifJiC ,/-7/404- BUILDING /404-BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: �c ,S 27S/ 9OR. CONTRACTOR: 'Eq,PS ���� - PHONE: - o -D 736 MAILING ADDRESS: //,7/.2 mac- �Trl ARCHITECT/ENGINEER: - PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: