1992, 08-05 Permit App: 92006091 Fire Damage RepairSpokane CalIlly
DEPARTMENT OF BUILDING & SAEETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSREET
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STREET ADDRESS: a 73/6, Gi cat- C&,
CITY/STATE/ZIP: SPD w J`1_1!_k
SUBDIVISION:
BLOCK:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
LOT: ZONE: DISTRICT:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER:
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MAILING ADDRESS: rT ebU 2._.
PHONE:
CITY/STATE/ZIP:
CONTACT: R U 1 h f ykytok.
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PHONE : Soct — 9a % -
PERMIT USE: ri Pa ►^^ a t c 1‘1--'
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CONTRACTOR LICENSE NUMBER:
BUILDING INFORMATION
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CONTRACTOR: l lvtiS ckbv-t ASS SS o C . p `'"' 1 -INC., PHONE :s O� — �— W/6,
MAILING ADDRESS : ? O. & x /?S / / sec Cu4 gic?..ov & %d4 S/1or t
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
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BUILDING DIMENSIONS:
X (WIDTI{ X DEPTH) SQ. FT.:
REQUIRED PARKING: it HANDICAP: SPRINKLERED: CRITICAL MATERIAL: