1989, 09-29 Permit App 89003707 Enclose PatioSpokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: S /9&.a rte Ts, .alb
CITY/STATE/ZIP: C;)C?'/✓ /l[ E_ GU/% % j 'Z (7
SUBDIVISION: //Es i P ///4..t
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: 2 # OJF/ DWELLINGS: / WATER DISTRICT:SJa-
OWNER: J W E CC F(1Z2i 5
MAILING ADDRESS: S` /9 7 Ftc 5to
PHONE:
CITY/STATE/ZIP: c-) 129/4'./E) %A l 'Z o �O
CONTACT: PHONE : -fZ /sue
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
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: SEWER (Y/N): HYDRANT:
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