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1990, 10-01 Permit App: 90005014 Sewer
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: £ //C 2 J /(v p ooLw G Lv..4 i'"9„:20 CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: . OWNER: ,n, L) , P e ct k oPHONE: - - MAILING ADDRESS: S 1/0„ (L) 1/6.:( CITY/STATE/ZIP: .S(fOC q ,,) 9 Sao c CONTACT: \1 ✓✓i /y/� � PHONE: -"Py- 0 7 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: S Q J k7 (-7'e-7 **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: /V_ -Al, (. C, -X /a,) c CONTRACTOR:.,).... , Co�7 40,C L GO, PHONE: 4:21/ - ( 3 % 2 MAILING ADDRESS: E /0,:f-0-54C10/4 -7 /-tic. Sdo Q�y� ?` (--(-247 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: