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1993, 11-01 Permit App: 93010556 Reroof
Z &/616, Spokane County`` DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: E. 10.3imedt b ►k CITY/STATE/ZIP: Sp o e_ SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: - F/A: WIDTH: DEPTH: RIW: ,¢ OF BUILDINGS: # OF DWELLINGS: OWNER: %� h , -�- M y-5 , 4 © c i �1 MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: , C.� WATER DISTRICT: Ia7 9 I PHONE: S-0 - I/VI Ci a r s PHONE: 5.c.“1 -`/Z4 - 624-7 SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: P. It tn ***************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: WITS SS L N NUt i Z 3 /5• w CONTRACTOR: Lei (s e i' Mrs (li a .PHONE: 50/ - / 'Z e, - o Z- `l '7 MAILING ADDRESS: EY3 1<a �c 71'164y ARCHITECT/ENGINEER: PHONE: - MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE: SPACE HEATING TYPE (Check One) FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT FORCED AIR GAS HEAT PUMP PROPANE OTHER: FLAT CEILINGS R DOORS U. VAULTED CEILINGS R WINDOWS U ABOVE GRADE WALLS R GLAZING AREA $ BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE: FLOOR R SLAB ON GRADE R FURNACE EFFICIENCY RATING PLEASE INDICATE ON YOUR PLANS: The location of the radon vent, and the location of the vent fan area. ****************************** *********************************************** SQUARE FOOTAGE: MAIN FLOOR SECOND FLOOR BASEMENT - FINISHED UNFINISHED GARAGE CARPORT DECKS ADDITIONAL AREAS: ************************************,***************************************** LENDER/BOND HOLDER:, ADDRESS ;t. Inc. wwww~"mm-Nv1/4•Nwo-k-wWww‘ww1/4kw-kivv‘kw,ww,,,,,NNANwsm,Akvo..",,wo-NANN,v`evommcvoNwwwwww", DEPARTMENT OF LABOR AND INDUSTRIES THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A CONSTtONTGENERAt DIIqThATION NUMBER olpoo ey_ T.4YVVV•WAFWW*NNVWNWgF•NWyNNNWO.N.N. NNommk,AANNY.-.AAANN‘s,‘,N,,,,'X's,x,v,"i6;C:v•.NkmANAk"mso- NANANVONV"N'N'N''"NVO'NVN"WOOMANNNWNWV1/4 ANE WA 99206 C) W Z < Z CC <1.-M Z CC I-1 CO 0M22 1-4 (/) CC 1-1 ZW <HCI— CC I—JYW O<CC2 1.4M0> OCCX0 Wi— CC CO CC CI - MINOR WORK PERMIT CLEAN UP -PERSON # 064687 RESTRICTION(S): SEE WAC 296-125-033 (5)******* Employees name and business address ' r UBI:- 6010837V2AW4m00072mmwmumwmmElikIWION DAIE: 05/31/94 .• • • 1._ -1--