1994, 03-28 Permit App: 94002480 MHBuilding Information II
Contractor Information 1
APPLICATION WOtKSHEET
General Information
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Parcel number
202 5, / / ,5 cz // zol �Cce ,�l -1
Owner
/-11.5"ilirddr
City
14_ a4c6D
1
YhOAC
92 7( v
Site Information
Legal Dcscnprion
Property size
Water District
Zone:
'Inspector;:::..
Project Information
Number GI: Dwellings
Roadwi
yK; J9 4 Met,tc
buildings
Permit Use 1 New
Addition
Remod l
Change of use
we mg units
Occupant bad
13u,lding height
Stones
Budding dimensions
total square footage
Req'd parting I Handicap ndicap parking
Spnnklcr system
Critical Materul
uare root! a breakdown
ainfloor
Uncovered /covered deck
Second Iloor
Other
Finished basement
Floor
Unfinished basement
Door (u—value)
Ga rage
Furnace etlicency
Heating and insulation information (R—values)
Heat source
Hat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace etlicency
I ota 1 window area
`7e of tloor area
Budding contractor
Plumbing contractor
License number
Phone
License number
. ai Toga dress
Phone
ai inga•'ddress
City. state, zip
City, state, zip
I [eating contractor
Other / Lender
rLicenc number
Phone
'License number
`Ma ding address
Phone
!Ting ! ress
-city. state. zip
City. state, zip
PROJLCT CONTACT'
PHONE.
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675