1994, 05-26 Permit App: 94004769 ReroofL General Information i
APPLICATION WORKSHEET qq47'q
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Owner ri..nr 9tF -alb
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Tri ling add re
City
Soo kit
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Site Information
Legs I Description
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12\
Property size
Water District
Numberol: Uwelltnp
one
inspector
oad width
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Project Information
Permit Use
2,e, rood
\Ioi. un. (bin i
New
IAddition
IRemodel Change oI use
1
Building Information
Sparc footage breakdown
um
Ma Boor
Uncovered /covered deck
Second floor
rive amts
Occupant nt load
Building height
UM inched basement
Sto
L,it al Material
Budding dimensions
l oral square footage
Req'd parking
Handicap parking
Sprinkler system
I
Other/Lender
Phone
License number Phone
License number
Tailing address
Sparc footage breakdown
um
Ma Boor
Uncovered /covered deck
Second floor
Other
Pmahcd basement
R yam, Phone /
License number n0. lith 2 'P at -a J T8 947-/774
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UM inched basement
Ua rago
Mailing address
Contractor Information
Hcaliu, and insulation information
• eat source
R—valise*
PROJECT CONTACT
PRONE
Spokane County Division of Buildings
,rina taint arnnriivav Avn * Snnkane. Wa 99260 * (509) 456-3675
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Budding contractor / `avLn
Plumbing contractor
Phone
R yam, Phone /
License number n0. lith 2 'P at -a J T8 947-/774
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License number
Mailing address
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?;O% J doWdiS
Mailing address
City,
ty, state, zip Soo/4y< t...- 4- 9cto L
stale. zip
I Sealing contractor
Other/Lender
Phone
License number Phone
License number
Tailing address
Wrens
City, stale, zip
City, sta re. zip
PROJECT CONTACT
PRONE
Spokane County Division of Buildings
,rina taint arnnriivav Avn * Snnkane. Wa 99260 * (509) 456-3675
•••
i'RE9ISTEBED AS PBOVIDED BY LAW AS A:
NUM80 4 ::- • . t ',.'t .'
F.'..keatgr..-Qc:)::P4t3/401
; r44,E.NH: Rifrit46:4 •
SP OK NE
a0 7' S.IiOND 1%14:; "RD[u; • - ,-- .
144 .99206
SIGNATURE . .
ISSUED ey DEPARTME T 0.F LABOR AND INDUSTRIES
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