1994, 04-19 Permit App: 94003331 Demo Residence APPLICATION WORKSHEETg(i..qc/ .3 )
General Information 1
0(4 L 6 q 6
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5. '72 q GU►uvreha,r �l�• 13q,
Owner
G. 14. 0.. Phone
Mailing address.e. 'S "'
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—CityState Zip
_ ...Ji Y�F�((/Ap tun 99206
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Site Information `
Legal Description -
Property size WaterIistnct Numberot: Dwellings Buildings
Zone Inspector Roadwrdth
Project Information `
Permit Use /• New Addition Remodel Change of use
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Building Information
Dwelling units / Occupant load Building height Stories
Building d'm tons fib Iotalsquare Zge st44..tt Req'd parking Handicap parking Spnnldersystem Critical Material
Square footage breakdown , Heatin.and insulation information R—values
Mam floor Uncovered/covered deck •eat source
Second lloor Otherlirill +jiiin • 'ove gra.e wa
Finished basement : owgra.ewa oor .ongra.e
Unfinished basement Boor u—va ue "in.ow EMI
Garage ota win. w area ` '0 o oor area
Contractor Information`
Building con cloya//� Plumbmg contractor i
MI c:
License num
, eery C (� Qf Phone `_ License number Phone
Mailing address A /� ` " 1 vv{{ -'1��N7 Mailing address
City,state,testis- ( City,state,zip
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Heating contractor other/Lender
License number Phone License number Phone
Mailing address Mailing address
City,state,zip City,state,zip
PROJECT CONTACT T s ^ y ' PHONE ^tri-3
91S-
Spokane
1S-
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675