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1994, 07-28 Permit App: 94007116 ReroofL General Information rb adare s / / lizrw -Owner Maihng iddr City APPLICATION WORKSHEET S'rite Information Slate 1 -Parcel number 11 1J Phone J 7;p Legal Descnpuon Property size Water District Number o1: Dwellings 13uddings Zone inspector. Road width Project Information ermit se Building Information Addition Remodel Change or use Dwelling units Occupant load Budding height Second floor Stones Finished basement Budding dimensions Total square footage Req'd parking I Handicap parking Spnnkler system I CntscalMatenal Square rootage breakdown Main Boor Uncovered / covered deck Second floor Other Finished basement Unfinished basement T Garage urnaCe Contractor Information i1 Heatin, and iruulation inrormation R-valoea • eat source iiiimiiimaim : Plumbingcontractor T ,r urnaCe 4 ne ' 257- Bud gcontrac / Plumbingcontractor Lie T 4 ne ' 257- � Y License number Phone ilt g ad. rens �� 5 Mailing address -City, c.ti ate zi 4,4f Zta state, zip H ti contractor GG , Other/Lender License number Phone License number Phone Mailing address Mailing address City, state, Zip '- City, state, Zip PROTECT PROTECT CONTACT PIIONE Spokane County Division of Buildings .. ,. . 11k1 c-•r,.i..,,,,, ininonan * /cznrl\ AGF_'2P75