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1993, 10-29 Permit App: 93010484 ReroofParcel number 1.t , Q^ y APPLICATION WORKSHEET General Information be Job address /770),,i,7/-4 Owner ISR1F P`> J_)0CO n i h Mailing addre3s i) City l 33 c - f-rPe'Le Site Information yr / rS State` Legal Description Property size Water District Numberot: Dwellings Buildings InspectoC ROad. idth Project Information Pe rt Use o ora VIA.A.Ali c no New Addition Remodel Change of use Building Information Dwelling units Occupant load Building height Stones Building dimensions 'Total square tootage Req'd parking Handicap parking Sprinkler system CnticalMatenal Square footage breakdown Heat source a in floor Uncovered /covered deck Above grade wall Second tloor Other SCab on grade Finished basement Window Furnace eftteency Unfinished basement % of floor area Uarage x Contractor Information Heating and insulation information (R—values) 1 Heat source Plat ceiling Vaulted ceiling Above grade wall Below grade wall Floor SCab on grade Door (u—value) Window Furnace eftteency Total window area 1 % of floor area [Scolding c tractor Plumbing contractor License num ger Phone License number Phone Mailing address Mailing address City, state, zip City, state, zip Heating contractor Other / Lender License number Phone -License number Phone 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