1989, 08-08 Permit App 89002686 RemodelSpokane County
DEPARTMENT OF BUILDING & SAFETY
A Division of Public Works
INFORMATION WORKSHEET
PARCEL NUMBER: Vt/
STREET ADDRESS: E.11010 Vim_
CITY/STATE/ZIP: ��i/V121 WA
A
SUBDIVISION: o ,n Cc S a_ y reyt
BLOCK: C— LOT: /3 ZONE: ' - fz DISTRICT: /E
LOT AREA:
# OF BUILDINGS:
OWNER: karillet
MAILING ADDRESS:
CITY/STATE/ZIP:
P/A: WIDTH: DEPTH: R/W: C)
I# OF DWELLINGS: WATER DISTRICT: -43
l?ivoio. MNc twee. PHONE: U`? - i Zg. - Li \-37
SCL (V .Q-- OS Q k)olq--e..
CONTACT: a tin/' Qom.^ PHONE: -Qn -
SETBACKS: - FRONT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
LEFT: RIGHT:
Igo o-2 ?/
0 I PHONE: -�- 5-7J 9
E. 8 t c , 3 S o Wk clQ 7 Q
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL: ADDITION:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS:
PHONE:
CHANGE OF USE:
BUILDING HGT:
STORIES:
X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: # HANDICAP: SEWER (Y/N): HYDRANT: