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1994, 04-11 Permit App: 94002982 RemodelAPPLICATION WORKSHEET General Information 6 q—alts? Tb a rcss 5. 2.60 cN £S Parcel number Owner DA_ L�iZ -Mining address -City S.ZGo6 PSIS. Phone Lip Site Information Legal Description as I Addition Remodel Change of use Property sae Water District Numberol: Dwellings Buildings Zone Inspector .,' Roadwidth City. state, zip Project Information Permit Use Seo? fin 61-1 as New Addition Remodel Change of use 1 Building Information • 'e mg units •ccupanl oa• 1m ang eig 1 tones iw •ing rtmenstons ota square ootage •eq • par ng 'an'leap par ng pnn Ver system mica •atena Square footage breakdown Main Iloor Uncovered /covered deck Second floor Other banished basement Ming address kv /3ox (4/77/ Un(mished basement Gauge furnace Kency Contractor Information Heatin and insulation information R—value, •eat source atceung • .•ve gra ewa ow gra ewa Ming address kv /3ox (4/77/ a, on gm•e Mailing address furnace Kency ota wm•ow area SSL/L{ 73utlmg contractor . /CAS; lit.sIM£R. 7" z-7 —ILLI41 Plumbing contractor License number Phone Lice eAumbber_ =AsDI 1..fi3 Phone Ming address kv /3ox (4/77/ Mailing address City, state, zip Sno, Cir. . SSL/L{ City. state, zip Ileatingcontractor Other/Lender License number Phone License number Phone !r a t('1 ng address -Nailing address City. sla le. zip City, state, zip PROJECT CONTACT PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675