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2000, 08-01 Permit App: 00006664 Fire Damage Repair
Spokane bounty DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: INFORMATION WORKSHEET co- tew-i !9//0 ///;x0-- SUBDIVISION: BLOCK: LOT AREA: LOT: F/A: ZONE: DISTRICT: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER:a &/'c%�� /il1` PHONE: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: r cJ SETBACKS: - FRONT: LEFT: PERMIT USE: ,7l' -e /7 PHONE: -tTY- RIGHT: REAR: cie *********************************,***************************************** 4/452 �- ✓ c74% --/Y6? ( BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: /1/614 --6 9,/ 1-(A/ PHONE: -/ a 7 - �/o o MAILING ADDRESS: � / 721,1,4-e1/4 `/ ARCHITECT/ENGINEER: MAILING ADDRESS: NEW: REMODEL: DWELL UNITS: PHONE: Ole ADDITION: CHANGE OF USE: OCCUPANT LOAD: BUILDING DIMENSIONS: X BUILDING HGT: STORIES: (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: