1994, 05-09 Permit App: 94004090 Reroofq4-Leote
APPLICATION WORKSHEET
General Information 11
Il,d. aJdiens
t. S /(/t I-hRs ire)
h'arye number
OM
m'i
1 kms)
Gr Yt�
\GilingaJi less_
(6 R., crto r r v t
Ciiy
5Pcmk4ht
Site Information
State
till'
Project Information
�c{mtgOse
x �11(XI
New Addition
0c50 IxTe.,4
Remodel IL ange of use
13uilding Information
Uncovered /covered deck
(floor
1am
C
T-cg�Descnpuon
Stories
(.ntical Material
13wclg amts
lm
Budding dimensions
Iota! square lootage
nu in
Sprinkler system
Trokxrty sae
Water Uistrwt
Numberol:
Owcflmgs
r
City. state, zip
CC
9902
Lone
;Inspector
Road width ,
Other/Lender
License number
Mating address
Phone
I lcating contractor
Project Information
�c{mtgOse
x �11(XI
New Addition
0c50 IxTe.,4
Remodel IL ange of use
13uilding Information
SSppuarc footage breakdown
Uncovered /covered deck
(floor
1am
Occupant load
Building height
Stories
(.ntical Material
13wclg amts
lm
Budding dimensions
Iota! square lootage
Req'd parking Handicap parking
Sprinkler system
I
License number
-Mailing address
-City. le - zip
-FI- 1Cr AA -"
,Hili ing addr(e�ss n
a (3c( a6C)
SSppuarc footage breakdown
Uncovered /covered deck
(floor
1am
Second Iloor
tither
Finished basement
Unhnuhed basement
(.a rage
Phone
Contractor Information
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
Ifuddmp contractor
KG ��{Yf Oy ;s -P
Plumbing contractor
Phone
L.,y�p�nu nn}imber-f� ` �/p
°��t
rry�Phone 's
&CU'�nL32—
License number
-Mailing address
-City. le - zip
-FI- 1Cr AA -"
,Hili ing addr(e�ss n
a (3c( a6C)
r
City. state, zip
CC
9902
3
th.it°
Other/Lender
License number
Mating address
Phone
I lcating contractor
=License number
1 hone
"M ding address
-City. sla le, zip
City. state zip
kPItOJI�CI CONTACT- _y
il� ..(
.1PHONE
�^ / _/ z Q Z— II
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
CROCS1
LICENSE NUMBER
CONTRACTOR NAME
PARENT COMPANY
SEARCH NAME
ADDRESS LINE 1
ADDRESS LINE 2
CITY, STATE, ZIP
TELEPHONE
EFFECTIVE DATE
EXPIRATION DATE
SUSPENDED DATE
BIRTH DATE
OPTION :
s
DEPARTMENT OF LABOR AND INDUSTRIES - B&CSIS
CONTRACTOR INFORMATION INQUIRY
KCENT**099LG
K C ENTERPRISES
K C ENTERPRISES
PO BOX 200
MICA
(509) 928-2175
06/07/91
04/15/95
00/00/00
00/00/00
00
CRIS>PROD
STATUS ACTIVE.
CONTRACTOR TYPE CONST CONT
WA 99023
COUNTY SPOKANE
BUSINESS TYPE
GRANDFATHER CODE
SPECIALTY CODE 1
SPECIALTY CODE 2
PARTNER
UPDATED
GENERAL
UNUSED