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1993, 04-21 Permit App: 93002752 MHGeneral Information Project Information APPLICATION WORKSHEET o a ress Owner S co 90 h3:dol 6 n! I�GVV� Y1 .Cs) VA Mailing address /I^^ �V City k. Site Information arse num Q3 -z752 hone Legal Descnptron a O�< Property size Water ISisinc 903 Numberot: Dwellings Buildings -Zone: OndWid Permit Use L New Addition Remodel Change of use i _ Building Information Dwelling units Occupant load Building height Stones Building dimensions Total square tootage Req'd parking Handicap parking Spnnkler system Cntical Matenal Square footage breakdown ivam floor Uncovered / covered deck Second floor tither Finished basement Moor Unfinished basement Door (u—value) Garage Furnace elf -poem" Contractor Information Heating and insulation information (R—values) Heat source Flat ceding Vaulted ceiling Above grade wall Below grade wall Moor Slab on grade Door (u—value) Window Furnace elf -poem" 'l'otal window area 1 % of -Boor area Building contractor Plumbing contractor i License number 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