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1991, 07-09 Permit App 91004076 Demo ResidenceSpokane County 47 5 - iibific DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: - r STREET ADDRESS: , \CITY/STATE/ZIP. SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: �WNER: .� MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: # OF DWELLINGS: WATER DISTRICT: PTiOE . h - G.!� PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: *******************try** ************* ************************ ************** 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: SPRINKLERED: CRITICAL MATERIAL: