1993, 10-15 Permit Application: 93009906 Reroof(oscaD,.
APPLICATION W(RKS+HEET
General Information
1
Tob Wdress 4/ 2
e �[ ti An I
Owner
a4:
Mailing address
/2--0C,
City State
Parcel number
q3 -9906
Phone
Zip
1
Site Information
1
Legal Description
Property size
Water uutnct
Inspeetor
Number ot:
Roadwidth;'
Dwellings Buildings
Project Information
Building Information
Dwelling units
New
Addition
Remodel
Change of use
Occupant load
Building height
Building dimensions
Total square footage
Req'd parking Handicap parking
Stones
Spnnkler system
Cntical Matenal
1
Square footage breakdown
Main Boor
Uncovered / covered deck
Second floor
Other
Finished basement
^2
License umber Phone
0 L- ,h/iaC /Jo3 o 36�5 -0)07
Unfinished basement
Garage
Mailing address
[ Contractor Information
Heatin: and insulation information R— values
'PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456 -3675
Build contractor
(,r a. 6',
Plumbing contractor
Phone
^2
License umber Phone
0 L- ,h/iaC /Jo3 o 36�5 -0)07
License number
f
Mai mg addr s
��t') 1-->4 1-->4 /--,-/
Mailing address
City, state zip 2'
City, state zip
Heating contractor
Other / Lender
Phone
License number Phone
License number
Mailing address
Mailing address
City, state, zip
ity, state, zip
'PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456 -3675
REGISTERED AS PROVIDED BY LAW AS A:
REGISTRATION NUMBER
R 4. I(.CU0Jt1
t A T4;
EXPIRATION DATE
F; U ti 1 TE. GE E'?f.L CONTRACTL'W
,N 4847 WALNUT
SPOKAN
A
05
SIGNATURE
ISSUED BY DEPARTMENT OF LABOR AND INDUSTRIES
SITE ADDRESS: N 4524 ADAMS RD
PROJECT NUMBEP: 93009906 PERMIT TYRES:. AU
PERMIT USE: RE-ROOF RESIDENCE
DESCRIPTION INSPECTOR DATE RESULT
ROOF DECK STEVE HOLYK 01/28/94 APPROVED
FINAL STEVE HOLYK 01/23/94 APPROVED