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1993, 04-02 Permit App: 93002082 RemodelAPPLICATION WORKSHEET General Information atldress /1G_ / li CY e/ Parcel number 471 i/ / 7 Owner�7 FL76 (? /Oo •`? �/ C_ Ai' . 7�_ < Mad ding dli dress ,/ / F //8/� ��• l �d Phone fl 2 ? City --% C C 1 State Zip 9 7-&) Site Information Legal Descnption Property size /sa � 0 Sy 77' rte t::< Water thstnct !ns for Project Information Number ot: ltoadwidth Dwellings Buildings Permit Use / 7 i <I m , // , a�, x/4-,-6 ,y,,, . New Addition Item el ' Change of use _ Building Information Dwelling units Occupant load Building height Stones Building dimensions 'total square footage Req'd parking Handicap parking Spnnkler system CnticalMaterial Square footage breakdown ain floor Uncovered / covered deck Second floor Uther Finished basement Floor Untmished basement Door (u—value) Garage Furnace e[Cicency Contractor Information Heating and insulation information (R—values) Heat source Flat ceiling Vaulted ceiling Above grade wall Below grade wall Floor Slab on grade Door (u—value) Window Furnace e[Cicency Total window area % ot tloor area Building contractor Plumbing contractor License number Phone 'cense number Phone Mailing address Mailing address may, 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