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1994, 06-16 Permit App: 94005563 Reroof 4 -.6 5 6, . ...... l APPLICATION WORKSHEET I L General Information I Job address arce number 12611 E 16th , Phone Owner Ray Winn Mailing address 12611 E 16th Mir— .----- — ztp City Spokane, Wa 99216 L Site Information II Legaluesenptiod Property me WaterUnlrict Number ol: Dwellings Buildings `'ZAi �tM y1yysy ?I`,, ,s t is5 ecp.i,'-.:. . ,ma�;d �A •+ • :` �+ -:-:, •:� S x g M ',:+' „: p: I :SL , 946 . . ?'<ZO��K•W¢ Y �•:•. -' ..< ;e4t•t.,y5:.4'. .i� $ : . . ... ... 4+/:ft+� LProject Information ` LPermit Use I New I Addition I Remodel I Lassie et me 1 Reroof L Building Information 14iFfee $78.84 Valuation $3778.96 Buddingheight I 5torles 1:22) Dwelling units load Building dimensions "Iolal square looter Keq'd parking I Handicap parking SpnnKler system I UstialMaterW Square footage breakdown HHeattingsource and iesalatoe information(R—vaineel Main Moor Uncovered/covered deck ea Second Boor Other Plat ceiling Vaulted ceiling AboVe grade Well ' Below grade wall Floor Siabon grade Finished basement Unfinished basementDoor(u—slue) Window Furnaceellimmy 1 otal window area lb of aloof area Garage Contractor Information` Budding contractor Plumbing contractor 1 Spokane Roofing Co License number Phone License number Phone SPOKAR*340L7 838-8633 Ma ding address Mailing address P.O. BOX 3946 City,state,zip City,state,zip Spokane, Wa 99220-3946 __ _ Heating contractor Other/Lender License number Phone License number Phone Mailing address Mailing address City,state,zip City,state,zip PROJECT CONTACT PHONE i Carol or Barb 838-8633 Spokane County Division of Buildings • 1026 West Broadway Ave * Spokane,Wa 99260 * (509) 456-3675