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1994, 11-03 Permit App 94011010 DemoII APPLICATION WORKSI-ILL= - -yL General Information ]ob addreu r 1'iiiicl nwiiber I5ib / 1519 .A, PiN,� 71)-3/8 E r C ss1e -City -State Phone Zip L Site Information Project Information 3` 1371v0 Permit 44.61 New rd'dil ion Remodel Change or use Building Information Dwelling units /DOD eqc Budding dimensions Occupant bad 'total square lootage u ing eig il—t lieq dpailing lla nddica p parking Stones SpnnlcJer system Square footaxe breakdown 1. Main Boor -Second Uncovered /covere ee Moor OT er — -- — Finished basement Unfinished basement Gauge Contractor Information ing coo c or n61 S V eMbll /1 BVI License umber er Phone Mailing address S '� .13 8 7ity,rlale,zip 791 7 GLl►1Y11�p 9'r'', Ht as, 1`1$,4tA, Heating utr ctor License iun�er -Iai inT 6 address -City, stale, zip 9ak- OL/3/ Phone IPROJT CT COr I'AC�I• Ifealin and insulation information (R—values) eat source Fla ea mg ' au •. cei ing Above grade wall Below grade wall floor -'SGb on grade Boor (u—value) " "oii1 ' in • ow urnace a ioency window area % or floor arca Plumbing contractor 'License number Mailing address City, state, zip 1 —Phone other / I,eodcr license number Mailing address City, slate, zip Phone PIIONi Spokane County Division of I3uildintls