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1994, 02-01 Permit App 94000543 ResidenceAPPLICATION WORKSHEET General Information (?y - 5y>== o a dress PZ ra.cc, uu,uacG • PD1v_I Owner e admga rens t7 B t7 Z ,ty State dP Ot: S O✓ VAS U0 pZ Site Information Legal Description L ) / - ! mei-COSI MMI NOR O F — FY J'31/ Unluasbed basement u, ring lmensions rope ysize'/ /7 a er sct / / um ero: a ringsBuildings I one tt C5 nspector 1 '?�G`'/ Roadwiath Project Information Building Information Dwelling units ccupant m mg edg ttones -Secon oor Other Finialled basement J'31/ Unluasbed basement u, ring lmensions 10131 square lootage eq par nil n drappar ng Dprinkl6ryfem aero -at.'AZ 1 '?�G`'/ 1,onto foots a breakdown Mbuare am imr Uncovered covers ec -Secon oor Other Finialled basement oor Unluasbed basement oor u--- ce ange urnace a doeddry Contractor Information Heat and insulation informatima R—valacs eataaame�Ll et'ielQe - WAtL ft u.I J Matceiling Vaultweeding Abewegradeivitil aw, gm ewa oor on gn e oor u--- ce do ow urnace a doeddry oa win owam o tarso 'Building contractor rN Flumbingcontractor ¢erne number Phone Liceme number Fluate Mailingaddress Mailingaddress City, state, zip uy,state,zdp Heating contractor Other/Leader License number Phone Liceme number Phone at ring a ressad mg s ress City, state, zip City, slate, Lp Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675 ADDRESS: N • u 5c7 JSEtyH ZONE: `'3• c✓" ROAD WIDTH: f0O FRONT' 3cj FLANKING: COMMENTS: REVIEWED BY: /05' 1 Z' , '75 ' it wa_K Dy:vtrh`1 96' /0/' Lod- 8 GX 1!-1 \Pc-1-1.E$y iYcF /ofZ fcripoitcorq