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1993, 07-12 Permit App: 93005689 MH_ General Information II APPLICATION WORKSHEET j Job address a ao7 &oed eAV G,eez?u/leas aM. Parcel number Owner OCser2 4. SAND% ,aA/.le°I,1.7 Mailing ad ress E. /S22•0 City Vez4 DALE gar? -so 3778 2 6 72x #a6 State w,43#. 90337 Site Information 1 Legal Descnplion New XN Addition Remodel Change of use i Iota Isquare footage Property size Water Unmet Numberol: Dwellings Buildings Lone Inspector. - Roadwidth City, state, zip Heating contractor Other/ Lender Project Information ` 1995 Permit Use fdlateinit el it New XN Addition Remodel Change of use i Iota Isquare footage Building Information Dwelling units Occupant load Budding height Stones Building dimensions Iota Isquare footage Req'd parking Handicapparking Sprinkler system Lnlical Material Furnace efficiency local window area Scare footage breakdown a in Iloor Uncovered / covered deck Second Iloor Other Finished basement Floor Unfinished basement Door (u—value) Camp Furnace efficiency Contractor Information Hating and insolation information (R—values) Heat source Flat ceiling Vaulted ceiling Above grade wall Below grade wall Floor Slab on grade Door (u—value) Window Furnace efficiency local window area 56 o Iloor area Building contractor Plumbing contractor License number Phone License number Phone Mailing address Mailing address Lily, stale. zip City, state, zip Heating contractor Other/ Lender License number Phone License number Phone Ma ding address Ma ding address City. stale, zip City, state. zip PROTECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675