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1994, 04-21 Permit App: 94003451 Remodel ... . qq- -3ut5 ) l APPLICATION WORKSHEET General Information II ---- - P•nrl nwiibcr 49t L /! /6 I - Tol,-aciclress � 0 5//o S.,, -/ Va/, i''/�� �'- -• � ------ _ Phone Zip Owner t Jm��s©� �_ Ma,hngaddress 5/ JO\__c 5 O Cl th----Vet(1 /"(al_trr- -State -State ity S��nka�� [ Site Information111 Legal Description Numberol: Dwellings Buildings Property size Water Distract Road width Zone Inspector si [ Project Information ` 41 8e:X1).0 cue Addition Remodel I Change of use 1 Lermit Use 1 New P -4Ck2/TUn(6) . 'l 1(Llili.biM C0Cc [ Building Information ` 11-1 -44)4"-' 4 tidtAd AvJS - . a-k;r -44"¢,r fel" c c a-' Dwelling units Occupant load Building height Stones Req d parking I Handicap parking Spnnkler system I Critical Material Building dimensions 'Total square footage Heaths.and insulation information R-values Square Main[lourfootage breakdown Uncovered!covered deck 'eat source Second floor Other • d t.inished basement ..tn.ow Unfinished basement ata win,ow area a re,ge win lContractor Information II t tng con of°C``- �t�ee n OWN• 5 9 92- -8?.5/ Qn1m I V Iiiiiiiiii • one ,cense num er IiiiiilliiIM DA1Ii-SGO65P3 •at iimga..rens NI0 r til 150Z Bessie 2 07 ity.state zip ity,state,zip (Al 5 ic;k e Other Lender Heating contractor ,one icense num,er •ai inga••ress iliMMIIIIIIIIIIIIIIIIIIIIIIIIIII ray,state,zip ray,state,zip Il f PROJECT CONTACT PHONE ll— — 1 Spokane County Division of Buildings456-3675 1026 West Broadway Ave Spokane, Wa 99260 (509) • _ I REGISTERED AS PROVIDED BY LAW AS A. cc,Nt CONT i:4F RAL REGISTRATION NUMBER EXPIRATION DATE +71 DANLEJ6Gg503..: 47`ID+6/94 ' f;;:fFEC1IVI DATE, ttI SI9x A NIL! J C.s L. 'Ir AE 6 U V C Th T id NI 150? B c$ SI t t�D iPOKk L WA 99211 \ < SIGNATURE , X 6?)IssuED BY DEPARTMENT LABOR AND INDUSTRIE �/ \ �