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1993, 01-08 Permit App: 93000116 Repair Fire Damage 9' (5 - - Spokane County DEPARTMENT OF BUILDING & SAFE .wr"' West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-36 5' 0_ ,) INFORMATION WORKSHEET Pv() iDla ' . e) fa. . PARCEL NUMBER: i c /) STREET ADDRESS: )7_ 6 g�,3 - 7 CITY/STATE/ZIP: 9ipkd,uc 601 99.V.2 SUBDIVISION: - --/--) 1 1 1 "P BLOCK: le LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: / # OF DWELLINGS: / WATER DISTRICT: J� OWNER: PHONE: - / D CJ/� 76 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: 0 ) 60.2x) PHONE: - . SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: g_ p,„,ti6;44..,/„A, ____ ..56,04/64,,,a eCFt o,ee- cliceiniczy,e______ **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: .0 ,. a `7 0 0 �� 4 5) — k.--4 / CONTRACTOR: — z /-4, (,4 s7 , u,( PHONE: cog _s3.5-- - ,mo/ - II MAILING ADDRESS: Aj. 7,28 (7'0,1C 4.0e.kobu . W/f 0-2. ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: // OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: