1994, 08-24 Permit App: 94008229 ReroofL5 1.52. I
D“) .51L1 -
L General Information
11
1i
APPLICATION WORKSHEET 11
-ro-ba-daress
F /3 DLf)i
number
gzz_61
Owner
1 cc r )6 c
-Wilma address
3,2 (-) c-xw
City
Site Information -11
Stale
Legal Descnption
1
rt. C-1") -Jo ci '
7;
roperly sIze
ater Utstr
Number of:
Dwellings Budd uip
Zone
Inspector
•
Road wtdth
Project Information
Building Information 1
Dwelling units
New
1 Addition
I Remodel
Change oruse
Building Information 1
Dwelling units
Occupant load
Building height
Second floor
Stones
Innished basement
Building dimensions
Total square footage
Req'd parking
1 Handicap parking
Spnnkler system
cal Ma tenal
Square footage breakdown
Uncovered /covered deck
Main floor
Second floor
Other
Innished basement
villailliiim
t i .ow
Unfinished basement
ota win ow area
Oa rage
— \
License number
_ Contractor Informati
Heatin. and insulation infonnatioa -values
/
3 a it(
iiis
. .
s 4 .
oor U—va ue
villailliiim
t i .ow
ota win ow area
o •r area
lluddmg contractorb
/
3 a it(
Plumbing contractor
License number
hone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
Healing contractor
Phone------
Other / Lender
-License numbernrre----
License number
fsrailit--dalg a ress
Mailing address
City, slate, zip
City, state, zip
PROJECT CONTACP
PHONE
Spokane County Division of Buildings
_ A - + .- ‘At, noogn * Ign01 /1gR—'1W7g