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1990, 03-12 Permit App: 90000838 Fire Damage Repair
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-36'5 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: CITY/STATE/ZIP: SUBDIVISION: BLOCK: if"- i/o(s- // 5 r`_�!Z 3 Y J LOT: ZONE: t F12 DISTRICT: C` F/A: 6 1 WIDTH: / 13S-- S DEPTH: LOT AREA: R/W: J �' # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: PHONE: — — 77 .MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: PHONE: — SETBACKS: — FRONT: PERMIT USE: LEFT: RIGHT REAR: /2'p(R.ee) (XXXI ***************************************************************i2*** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: 4 tepee i (/ p85 /ire/ as:evs_v Jit PHONE: c % - 433- 4200 r /f/,' 5-70e 7%-e Av4 CONTRACTOR: MAILING ADDRESS: ARCHITECT/ENGINEER: MAILING ADDRESS: PHONE: - - NEW: REMODEL ADDITION CHANGE OF USE: 4 DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT:__._____ o0