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1994, 05-02 Permit App: 94003818 Reroof
L Contractor Information 1 APPLICATI6N WORKSHEET �I General Information ' S Pa,�i'c number l.�h ;Iaieas o (p C ewki,w' y C �. 1 '(� Phone 'OW fief X VAX' lc 'M.fling address QQ j4tr �-�. a 00k3 Stale City Spokes L Site Information Legal Description roperty site Lone. ter District Inspcctorv.. Project Information It Use 0 )‘I 0-10 Building Information Dwelling units Uuildirime,u,ons Occupant load total square tootage New umber ot: .Road width'. Addition Dwellings U tidings Remodel Change of use ua re footage breakdown am Moor Second floor Pinehed basement Unlmuhed basement (garage Uncovered /covered deck Other Budding height Req'd parking i Iiuddmy coelnclo F>C01V/n��•i d LS 5-B_o kg'Z License num6numberYh \ (066 Phone Mailing ad&MSS ©1 c. �1 Cit y, state. zip spo LSC7.—Ir - /9/ /9 �/ i (eating contractor -License number g address City, sta te. zip Ha ndcap parking Stones Sprinkler system Lntcal Matenal Ieatiu. and insulation information R—valu • eat source ove gra• a wa Plumbing contactor License number Phone Mailingaddress City. Vale- 111) Omer / Lender hone License number Phone Mailing address Cray, stale, zip l PROJECT CONTACT I'IIONE II Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675