1994, 07-06 Permit App: 94006261 Reroof ll 7
II _ APPLICATION WORKSHEET
General Information `
Job ac7d. t� Parcelss r
51q.
Ow') --- -- Phone -- —
Mailing address
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City r AfeA ''p
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Site Information
Legal Description Wt)p GAN Pk ‘17
7 i Qs' 1 Q-0
Property size Water District Number ot: Dwellings Buildings
Zone Inspector Road width
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y .
gr
56
Project Information ` / t)
Permit Use New IAddition Remodel Change o[use
Building Information 1
Dwelling units Occupant load Building height Stones
Budding dimensions 'Coral square footage Keq'd parking Handicap parking Sprinkler system I Critical Material
Square
footage breakdown Hearin,and insulation information R—valoea
am floor Uncovered/covered deck 'eat source
Second Boor Other
r i
Finished basement
Unfinished basement
ota win.ow area
Garage
Contractor Information
Building contractor Plumbing contractor
License number Phone License number Phone
Mailing address Mailing address
City,state,zip City,state.zip
Heating contractor Other/Lender
License number Phone License number Phone
Mailing address Mailing address
City,state,zip City,state,zip
PROJECT CONTACT PHONE
Spokane County Division of Buildings
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