1994, 08-03 Permit App: 94007357 Reroof APPLICATION WORKSHEET -- - -----
General Information ` q of-.7 3 S7
Tob sJdress Parcel number ;
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Mailing addre -
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City t�/1/16:4 -e / vri ?C /6
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Site Information r •
Legal Desc lion
Property size
Water District Number oli I3wellmgs iSwidtn/A :
-.,.hOn4 • > -. Inspector dw Rio with i
Project Information I (�d
Permit gi `� New AdditionRemodel Change of lir
Building Information
Dwelling units Occupant load Budding height Stones
Buildtngdunensto I otal square lootage Req'dparking liandreapparking bpnnUersystem critical hfaletlal:
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Sgwre tate breakdown Healin.and insulation information R—val.ea
Main floor
Uncovered/covered deck ��rtszt�rr�
Second door
Other liliii l
l•tntshed basement Iiiiiiiiihillialkiliiiill
v ttnanei e Medi
Unfinished basement Will. 4'
Garage os
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Contr nformatton
1; ding contractor
Plumbing contractor
ACTION ROOFING &SIDING hoT► Phone
License number nc License number
ACTIORSO64J2 326-2716 Mai
Mailing Ma ilingQa ddrett
City,stale. p1 DI �QIs�rA6 city.itai ill)
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t •• ting ontraclor -- -- 01.cr n•cr
Kens@ nr"• P •ne KEES*num• r
)11000 `"
AttngA rea `Mailingaddreu - x. '
City,state,zip
City.state,zip ,.i,..,,tri::!,;;;.:;; 71
ROfl cr CONTACT PHONE " '
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Spokane County Division of Buildings +` gr t'�'
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