2000, 08-03 Permit App: 00006778 ReroofI�I
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PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675 , /J
Project Description:
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TYPE OF APPLICATION
iicl Building Permit
O Change in Use
El Grading
O Manufactured Home Permit
El Relocation
O Sign
El Tenant (New/Change)
O Other
SPECIFIC SITE INFORMATION
Street Address: �• /^YPj j✓gv-w/ /cc,/ S /7/?�r(rR.✓t
Assessor's Tax Parcel Number(s):
Legal Description: ,/
e artment;
-54
OWNER/APPLICANT INFORMATION
lndreate who should be contacted regarding this project
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I� Owner:�y-,,sem ' �('r�' - .-}/ Phone:
/72=-0 t 14i -e -t./ Fax:
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O Applicant-
Phone
Fax.
Unfinished basement sq ft.
Marling Address
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Total habitable space
Mailing Address
Finished basement sq. ft.
Occupancy group
Construction type
City, tate, Zip p
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Deck sq. ft.
City, State, Zip
Heat source (electric, gas, etc.)
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neontn tort LL•�//� t Phone
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❑ Architect/Engineer
Phone
Fax
Mailing address /
W. q9tr1ch/. etc,”City,
Mailing address
State Zip (�/J �,
City, State Zip
WA State ontractor license#
di '`10702 Q5
Contact name:
PROJECT INFORMATION
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Building height to peak
# of stories
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Main floor sq ft
Unfinished basement sq ft.
Dimensions
Total habitable space
2"^ floor sq. ft.
Finished basement sq. ft.
Occupancy group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)