1995, 08-11 Permit App: 95006188 Reroofl► APPLICATION WORKSHEET
General Information
Tab address
414 SO y UNION
KEN POLENSKY
Muhng addrets
414 South Union
Site Information
Lept Description
House
Ta ice -number
ci_T. _LA
--Pio-piny &ice - - - - — -- Water Dutrlcl—
IK
Number or:-17wellinp
1 Sor'Tdaga
"Zone pector
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Protect Information
Terme Use
New
Addition —Remodel
Change or use
Building Information
-Dwelling units
iiuiAlo��menslons
rkcupsnt load
COST: 3844.00 Permit: 78.84
TaiaTiquare-T6To age
Pudding height
-'hones
Aeq �paTh iig Handicap periwig
Sprinkler system
Critical al Ma lens(
care foots a breakdown
-Uncovered /covered deck
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Second Ilea
Tlnis-Wbasement
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Ui tnuhed basement
-
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Floor
'Wieder*
Contractor Information
lieatiag rad imsthtioe
`}ielisource
I*foe
allee (R --wt. )
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Tone
Ii, grade wall
Floor
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Silsbee geode
Door (u—value)
tier/ Leader
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161}1 WlndelWI roe
'License number
Mailing address
City, slate, zip
es 11eNelek
Beading contractor
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keine 011111. r
Mailiag.dJrrDOREER*321B2
-City: slate; zip BOX-- 7,203
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Plumbing contractor
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(509-) .46.7-89913._._--
Ti ense number
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City, slate, rip
Tone
gg2m-mn1
Heating contractor
tier/ Leader
License number
ldailingadd resa - - .-
City, sill; zip
Phone
'License number
Mailing address
City, slate, zip
1'bne
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[pRoiEcr CONTACT
TnTTT T .T 11M_TYIRFF (L0 -4629B
J H6NE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675