1993, 07-12 Permit App: 93005689 MH_ General Information
II APPLICATION WORKSHEET j
Job address a ao7 &oed eAV G,eez?u/leas aM.
Parcel number
Owner
OCser2 4. SAND% ,aA/.le°I,1.7
Mailing ad ress
E. /S22•0
City
Vez4 DALE
gar? -so 3778
2 6 72x #a6
State
w,43#.
90337
Site Information
1
Legal Descnplion
New
XN
Addition
Remodel
Change of use i
Iota Isquare footage
Property size
Water Unmet
Numberol:
Dwellings
Buildings
Lone
Inspector. -
Roadwidth
City, state, zip
Heating contractor
Other/ Lender
Project Information `
1995
Permit Use
fdlateinit el it
New
XN
Addition
Remodel
Change of use i
Iota Isquare footage
Building Information
Dwelling units
Occupant load
Budding height
Stones
Building dimensions
Iota Isquare footage
Req'd parking
Handicapparking
Sprinkler system
Lnlical Material
Furnace efficiency
local window area
Scare footage breakdown
a in Iloor
Uncovered / covered deck
Second Iloor
Other
Finished basement
Floor
Unfinished basement
Door (u—value)
Camp
Furnace efficiency
Contractor Information
Hating and insolation information (R—values)
Heat source
Flat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace efficiency
local window area
56 o Iloor area
Building contractor
Plumbing contractor
License number
Phone
License number
Phone
Mailing address
Mailing address
Lily, stale. zip
City, state, zip
Heating contractor
Other/ Lender
License number
Phone
License number
Phone
Ma ding address
Ma ding address
City. stale, zip
City, state. zip
PROTECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675