1994, 04-28 Permit App: 94003657 Remodel . .
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7
APPLICATION WORKSHEET. ,,4_ (.0 -
I- General Information il
lPaeel number
[ITobacldicss �� 52 `/
rt,..-9Z a/200
Owner hid
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ailing aVVVpdddrrress (f l / L ly- (��yyy (�/
C� /- / 706 C'V!�C�L- SI L---- - Sia - � 7.r / ' 2/"'
amity .5OkA NE
{ Site Information `
Legal Description `
"ater s tact um. roT: -Uwe Ings— -----fit tngs
'ropertysize °6,t T 66 J�
Zone Inspector /l/ !/t/VV Road width 111
L Project Information i
I
/� n/� I New I Addition I Ree i I Change or use
YermitAsE 1,J - o l nfro
1 Building Information
Dwelling units I Occupant ntload Budding height Stones I
nk
Total square tootage lteq p .t g I t'Und parking SpnA i/A /t//sy em I t-rt�j aternl
Building dimensionsIZ-C 0 /�V/
1{ealui and insulation information R-valtiiea
Squarriot ootage breakdown Uncovered/covered deck 'eat source
ain /2 CO
dd//`` . gra.e wa
Second 11 or Other
on gra e
Finished basement
Unfinished basementiiiiiiiHjimvkaid
tiarage
1111111
1 Contractor Information`
t
Budding contractor� Plumbing contractor
0 W/V E Phone License number Phone
License number
Mailing address Mailing address
City,state,zip City,state.zip
Heating contractor Other/Leader
License number
Phone License number Phone
-Ma ding address Mailing address
City,state.zip
City,state,zip
t'ROIECC CONTACT l'IIONi I
J
Spokane County Division of Buildings
tsi..,.« 0,,,.,,1,.,nt, titin * Snnk ine Wa 99260 ` (509) 456-3675