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1993, 04-16 Permit App: 93002560 MHq 3 -2K) APPLICATION WORKSHEET General Information 1 Job address 11002- fletwocoatecroictio W(GL rill g-/6-`13 A-Pree (o:��,/ oo -To plc k Parcel number (A42I ///^ele ^ill l T 1 Owner `n Mailing address O / Fi1 5 ii/rte cT .,/ Phone --? 7.2/ City .viz State Zip 9 fix_/ z Site Information Legal Descnption tai /14--2 /)c r' i7i oo,t !"& IIsr'L- Property size Water District Project Information Dwellings Buildings c13- FL TWo0D — SToA/C a I44E Zlo K 62 0 Permit Us New Addition Remodel Change of use Critical Matenal _ Building Information Dwelling units Occupant load total square footage /,s-,-© Budding height Iteq'd parking Handicap parking Stories Sprinkler system Critical Matenal Building dimensions ze x t ' Square footage breakdown Main floor /5_-90 '—:1 Uncovered /covered deck Second floor / Other Finished basement License number Unfinished basement Below grade wall Garage Mailing address Contractor Information Heating and insulation information (R -values) Heat source 7cam!_ /2 rl r- /j i`C / t-}) ./d 1 at ceilin v� auk 1 cei ing License number tf ove grade wall. Below grade wall Floor Mailing address Slab on grade Door (u—value) Window Heating contractor Furnace elficency Total window area License number % of floor area Buddmg contractor Plumbing contractor 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