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HomeMy WebLinkAbout1994, 05-26 Permit App: 94004813 Repair Fire Damage • 1 I APPLICATION WORKSHEET II qt/ d. ' General Information Lob address �s 1 ii 151 0464.e 4j 04 v 42l©2 6- I Parcel number -Owner /4/i•) Z(,,IS ci one ' Mailing address �aZ 6j j City �o /5-7/ (J!A c_c L% -(,17q lState / Zap L Site Information Legal Desenption I.• Property size Water Uistnct Numberol: Dwellings Buildings .m.o ::::.Asa . thE:::::iE:.:y.:;:: <•• :: :: ::.::<.::: .:;:;•::.::.::::iiiiii .....ie L Project Information 1,`A..i,� f t) 00 U LPennri Use I New I AdditionRemodel Cha II nge o[We LBuilding Informationii Dwelling units Occupant load Budding height Stories Building dimensions -total square rootage Req'd parking I Handicapparking Pa $ S pnokler system 1 Critical Material siSquarn(loe fot ootage breakdown Heating and insulation information (R—values) Uncovered/covered deck Heat source Second Moor tither Plat ceiling Vaulted ceiling Above grade wall Finished basement Below grade wall door Slab on grade Unfinished basement Door(u—value) Window Pinnace ellicency Garage area'lotalwindow aa -Aa of floor area 1 • �, L Contractor Information` Budd contractor Plumbing contractor (4P ThAjE Com License number 5 Phone License number Plane Pkj) ...‹r Cc/t�L (#67'-x.33 c� Mailing ess Mailingaddress /,o, R : , r5;) City,state,zip City,state,zip 0,4)1. /,t ') Li4. . Heating contractor Other/Leader License number Phone License number Phone Mailing address Mailing address City,state,zip . City,state,zip n I N. II PROJECT CONTACT.1--pfro.rc.)Mti, i0cs, PHONE b C-- Spokane County Division of Buildings f { ► REGISTERED AS PROVIDED BY LAW AS A: _ f CONST CONT GENERAL REGISTRATION NUMBER EXPIRATION DATE 01. CAPSTCC 1O6J5 03/Q1/95 EFFECTIVE' DATE 04/23/90 CAPSTONE CONSTRUCTION COMPANY PO BOX`,.398 •NINE MILE FALLS WA 99026 SIGNATURE ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES