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1993, 10-07 Permit App: 93009467 ReroofProject Information 1 LI 5074,gos`' • 11 APPLICATION WORKSHEET General Information) 93- 41(Y0i 3a� Site Information Legal Descnption Property size Water Distnct Numberot: Dwellings Buildings lits tOr 4Wi4tt Building Information Dwelling units Occupant load Building height Budding dimensions Total square tootage Keg parting liandicapparking Stones Spnnkler system I Critical Matenat 1 rootage breakdown Mcare ain hoof Uncovered /covered deck Second floor I Parcel number Finished basement Job address Untanished basement Door (u—value) Garage Furnace etticency I ota l window area % 01 floor area Phone Owner City, state, zip , oJ�'r,/ other/ Len ed Phone Mailing ad rcssj k7._ Phone //Q-, /( G/ V )- Lip 1 Cny✓7D?//(/L /(// Gi` State //y", 7) -/)-- L-- Site Information Legal Descnption Property size Water Distnct Numberot: Dwellings Buildings lits tOr 4Wi4tt Building Information Dwelling units Occupant load Building height Budding dimensions Total square tootage Keg parting liandicapparking Stones Spnnkler system I Critical Matenat 1 rootage breakdown Mcare ain hoof Uncovered /covered deck Second floor Other Finished basement Floor Untanished basement Door (u—value) Garage Furnace etticency Contractor Information Heating and insulation information (R—values) Heat source Hat ceding Vaulted ceiling Above grade wall Below grade wan Floor Slab on grade Door (u—value) Window Furnace etticency I ota l window area % 01 floor area PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 Buddingcontractor/ p/ -s-Df" Plumbing contractor Yhoae JJ License number Phone License number Mailing address Mailing address City, state, zip City, state, zip Heating contractor other/ Len ed Phone License number Phone License number Mailing address Mailing address City, state, zip City, state, zip PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675