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1990, 03-26 Permit App: 90001082 Repair Fire Damage
Spokane £ounty DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: L Fs- S"'7 CITY/STATE/ZIP: _42' C.4, - SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: 02 # OF DWELLINGS: (1 WATER DISTRICT: ` / _ OWNER: _ rfi- i - �/j PHONE: MAILING ADDRESS: Tom, ?Car`' 2/SS$/!J �1 CITY/STATE/ZIP: �_i^1J. Z4% 9 CONTACT: fie cly PHONE: -rn'-yo9d SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: / / %e ,fes-% / 4 / BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: /t 61r"'AYes-Vc i.r, lie%✓^ PHONE: -9/75'- rd yd MAILING ADDRESS: / • d. e V24 l/?7S/ _ 40-'1 29.2/,/ ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING DIMENSIONS: BUILDING HGT: STORIES: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: