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1993, 12-08 Permit App: 93011775 Siding t a � APPLICATION WORKSHEET General Information ` F a ��lp -- Job add eSsO / arca num r Owner n 2_ L( (Phone / lJ Mailing address City State Zip l �� 7 _ Site Information Legal Description Property size Water District Number ol: Dwellings Buildings Lone Idspector '< ROAdwidth i Project Information Permit Use New Addition Remodel Change of use Lk Building Information 14 Dwelling units Occt4pant load Building height Stories Building dimensions otall square footage Req'd parking Handicap parking Sprinkler system Critical Material Heating and insulation information (R—values) Sqre Mouam floorfootage breakdown Unc¢vered/covered deck Heat source Second floor Othr Hat ceiling Vaulted ceiling Above grade wall finished basement Below grade wall Hoor Slab on grade Unfinished basement Door(u—value) Window burnace eftiicency Total window area %of floor area Garage Contractor Information` Builduis contractor ctor � Plumbing contractor actor [.- `�-K S t License numberPhone License number Phone 4 /LQ 0vOG Mailing address Mailing address - (7(({ City,state,zip City,state,zip © 4 Cy(✓Q / / z 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 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675