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1990, 10-16 Permit App 90005412 Fire Restoration
Spokane County DEPARTMENT OF ttLDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: STREET ADDRESS: //0/U CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: OWNER: 8616, r WATER DISTRICT: PHONE: MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: M„- - aur71-PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: v /'le i'C��r �r / i 1 .1 ***** **********************************,********************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: Ate/ Gees f PHONE: MAILING ADDRESS: /7v_ l( Q 73 .. ? } //// ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: / OCCUPANT LOAD: BUILDING HGTi STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: