1988, 09-08 Permit App: 88002694 Repair Fire DamagePARCEL NUMBER:
INFORMATION WORKSHEET
c_151/3-
STREET
15'/3-
STREET ADDRESS:
S. 12-23 • Y1 vet - Ci T,
CITY/STATE/ZIP: Spoko n t, '///-
•
SUBDIVISION:
BLOCK: LOT: ZONE: /%0-12/ DISTRICT:
LOT AREA: F/A: WIDTH: 2.43 DEPTH: 2296 R/W:
# OF BUILDINGS: f # OF DWELLINGS: WATER DISTRICT:
OWNER: Fd; -r h Mae / roy
MAILING ADDRESS: S ttm e As A-,ao v t_
PHONE:y D9 - 9.29- - ye" 70
CITY/STATE/ZIP:
CONTACT: R•CJ) �/pn?%7C2, PHONE: Jj'p> - «19-S9S.Z
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: Ser- V c e.
/.3;2 C
CONTRACTOR: car v c O En rpr f' c es PHONE: „co 9' - yg9 -
MAILING ADDRESS: AJ_ 730 rot tin-, 1, JS Sf ofroi7 P- vV,k. 97.2o.Q
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: /ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SEWER (Y/N): HYDRANT: