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1994, 01-13 Permit App: 94000321 ReroofL General Information 4 c_ APPLICATION WORKSHEET tit 5(0trL) \`Job address rl /0 S// 4 (D 5 / 3 ccp Lay) G e 5/r r g. Marling adJress [, /1/S!O �7�'U 3 r Owner City Silo Site Information Legal Description ropeny Sae ler District {',Spector .. I Slate WPI 1I O 1 4 7Z'4 tz ry Parcel number 51Sot9. o ei G f/ Phone Number ot: dwidlh Lip 7 9.)( etlmgs Buddmga Permit [1 - U � /100°2- L Building Information t.. Dwelling units Building dimensions lOccupant load total square footage I New Addition Remodel IBuilding height Stones Keq'd parting I Handicap parting Spongier system Contractor Information Building contractor License number Mailing address Cray, state, zip I'eating contractor License number -Mining address ty, Stale, zip Phone Phone Change or use Cntical Matenal Heating and insulation information (R—value+) Heat source Flat ceding Below grade wall Door (u—value) 1 otal window area plumbing contractor License number Mailing address Lily. state, zip Other / Lender License number Mailing address ity, sate, zip Vaulted ceiling Floor Window r 1 Above grade wall Slab on grade Furnace elliceony % ot Boor area Phone Phone IPROJECI CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675