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1991, 02-20 Permit App: 91000499 Remodel
Spokane County DEPARTMENT`OF .BUILDING & SAFETY West 1303 Broadway Avenue Spokane, -WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: 2-5-Sk? _ o/(2,,) STREET ADDRESS: L- /;2.5241 a( fH CITY/STATE/ZIP: 3 pn k aNE- w 4 qod SUBDIVISION: Cy"-ee AP/1 BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: 5 /2 - ''TEL PHONE: - - MAILING ADDRESS: L /2 CITY/STATE/ZIP: c.5-Pok yl tJ C W 4 9q�c) 6 CONTACT: PHONE: 607 - 7az2- 5 /5 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: ****, *******************************************A*************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: PHONE: - - MAILING ADDRESS: 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: