1990, 09-06 Permit App 90004427 SewerSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: /. ?% c�
STREET ADDRESS: C , /0,5- Cry (.)42 . j,g. t_r
CITY/STATE/ZIP: S'o 9 q. b I'V /,-
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER: V A w, S R
MAILING ADDRESS: F. /OSo 0441 yC ci�J
CITY/STATE/ZIP: P
PHONE: C.5,(i..) -. 9,2 y - G v 7 7
CONTACT: L 9 ,. ,, /U/ g/ per_ PHONE: ,�o 9 - - G o 7 7
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: _ .Q v- Ca,v .U,' Cam`'-
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: fL • 17 c c /0//c- C
CONTRACTOR: � ,R Z1- dsZec, c7/ o G .-) PHONE :.soy - 7,2y - G c ? 7
MAILING ADDRESS: kr- /c D y ,6 /14GZL5 4,4' `r
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: