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1993, 09-27 Permit App: 93008915 ReroofGeneral Information APPLICATION WORRSHEET 'Tb a3lrcss 111, /a /i/ IParcel number`-' V , I 1 Site Information State zip/ 7 �D 7 Legal Description Occupant load Budding height Stones Building dimensions IolaI square loolage Property sae Water Utstnct Number ot: Dwellings Buildings Zone Inspector Road width • ding address 7 �.iNe•z! ? 2 0 �C Project Information Permit Use Building Information New Addition I Remodel change of use 1 Dwelling units Occupant load Budding height Stones Building dimensions IolaI square loolage Req'd parking Handicap parking Spnnkler system Cntical Material Furnace etlicency local window area Sparc footage breakdown Main floor Uncovered /covered deck Second floor Other Finished basement Floor Unfinished basement Door (u—value) Ga mge Furnace etlicency Contractor Information Healing and insulation information (R—values) t Heat source Hat ceding Vaulted ceiling Above grade wall Below grade wall Floor Slab on grade Door (u—value) Window Furnace etlicency local window area hof floor area Bu dm coo{ e� ��7�� 3/J/ //_ I -��" /' Plumbing contractor ,tis liel'unwer "'AA� r oCe License number Phone M1 a in a rens ����JJ/////,{%�7 �y /' /J •-ao i{ L• 7s 7/� • ding address 7 �.iNe•z! ? 2 0 �C 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 PROJECT' CONTACT' PIIONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 REGISTE&5 PROVIDED titLAW:A§ k', r:TfittiS rk . • :-:54-07•CA ter HE RA ; ; ; E.N W N5J • •.;'• • • •F"•'' ' UP 99267._ .•. SP OKM4 E " SIGNATURE IS BY DEPARTMENT OF LABOR AND INDUSTRIES •