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1989, 11-03 Permit App: 89004498 Addition • NOL'- 3—'E19 13: 'B I D:HEALTH SPO TEL • 50B-456-4716 14699 P01 ND.;—03—'e9 12:33 ID:BLDG AND SAFETY—SPO TEL NO:509—456—4707 t2111:1 r F y •,A)".1: o 4. 4.4 4.4.4 4 4: •4 4.4 4, ñ; 11 T 1AP ) f,') IqTH AVV AympLr , vFpe,.Difflr iiY(M7I PERWrr AT) - GAI-,001%& knom 0(1;):),(,!,8 pLAT Psle,t4MP, rHrRPY 3:1!fl A r (11.••• p/Ar, r WirtH,,0 n I 1) ;11 1; 1.1 1. . r: IflJi. .• r‘' r 1:.1)T I-1 V1 ADDRFS'S4 V : AL : CONTArT NAMFA. " NJ r ' F[ r14 pHooy. r" PiNv 1.Y.:I A T I r." N,A i.:r; r„ • V1," FI-14 iNC(IPM(`11 ) ::" 'TMEN'T N ertM PiVTEW ri' MrT, I iv4TT1 ,-4( PLAN , . „ flUTt, WW, :",,TTEor2J,: prrqui. , 1,1 . , . „„ „„ . . „., • ....... . _. 1) EN e)I "( N 't I:: id I:: I'; j .; r) 14/jA " • : fl-s-111 „ . •_ a6L - ..••• • -— .•••- — - S Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway ]lvenue Spokane, WA 9 260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: 4F0 i,y4,10 �1 4 a � � CITY/STATE/ZIP: --kJi DJ/1Ss,s4 gy0cg7 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: / E LOT AREA: F/A: WIDTH: MO DEPTH:47 R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: , 7p)/7hS //7/a-0-7 PHONE: s0 9 -2 - 71/ 1/ MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** BUILDING INFORMATION `/ CONTRACTOR LICENSE NUMBER: ,1- J ,� �C s 3 7` CONTRACTOR: //:=7":4 ,4, // PHONE: (pi - IS"- (30t3 �o MAILING ADDRESS: , //GV an"X 71;77 c ,P Ln , ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION:)( CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: 32 % .Z y (WIDTH X DEPTH) SQ. FT. : 2W/ REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: • • 3 /u, f � t • � f ,ORA/N_l--% LD I f i - - - -� ._ - - /9!6 f-1 SE Tic TANK • -A Pill5n1V6_-NOC(SZ • /7 D/7770W /Z 6 • I - i ' uttA� CGNC. ,o. \ �' ,t 0 �1 Y - 1 - -BOO,O' PLO 7- 1.L/IAI