1992, 09-10 Permit App: 92007434 Remodel Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: �1�3
71
STREET ADDRESS: (1_, J ?O 3 /6 \
CITY/STATE/ZIP: 'Sb°O
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT:
OWNER: c%c'P ry t IZ t<5. PHONE: % - _3 3 4' 7 9
MAILING ADDRESS: Z 3 J'{ ti�
CITY/STATE/ZIP: pLi If L )
CONTACT: tUr 1) A04 PHONE: — —
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: YL1 t - U I C CY i 3
CONTRACTOR: tUVA , PHONE: - S317 - 7 Z t '7
MAILING ADDRESS: tr1 CZ 3 4-)7�
ARCHITECT/ENGINEER: PHONE: — —
MAILING ADDRESS:
NEW: REMODEL: ?C 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:
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