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1991, 08-05 Permit App: 91004733 Fire Restoration
Spokane CountyD-1 D-oa DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: CITY/STATE/ZIP: 5;,,t2 Z,4.0 ' SUBDIVISION: P'7 6 ( l 6L/ 3 ctorick_fi-\ BLOCK: (4LOT: a ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: OWNER: # OF DWELLINGS: WATER DISTRICT: PHONE: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: ,- ov411. e PHONE: .../ - V( - yD 5'0 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: • r-ic-7651 **************************************************************** *****1**y** BUILDING//INFORMATION /(/ � CONTRACTOR LICENSE NUMBER: / [/tI/ 6C „,te9 r/C-A' CONTRACTOR: /1/0/.-4i11-571 n S/�'&c/r o ti PHONE:5"-id? -'S/j 5' $'O,961 MAILING ADDRESS: /c )3'.e. // %3/ s. z - ! 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: