1988, 10-13 Permit App: 88003212 ReroofPARCEL NUMBER:
INFORMATION WORKSHEET
/&6'// - D7 07
32/2
STREET ADDRESS:
CITY/STATE/ZIP: S",m � C Zeia,
SUBDIVISION: OFPORTu#v 1
BLOCK: 349 LOT: ZONE: AS
DISTRICT: j=
LOT AREA: *co F/A: WIDTH: q13 DEPTH:J R/W:
OF DWELLCINGS : 5,r-r�' /t WATER DISTRICT:
LLOttARLC,
# OF BUILDINGS: I #
OWNER:
544
MAILING ADDRESS: (#--,,
PHONE:
/22/( ,8, to
CITY/STATE/ZIP: 462944r r Gt./Ct
CONTACT: 2/j'f,�
SETBACKS: - FRONT: LEFT:
PERMIT USE:
PHONE:
RIGHT: REAR:
******************************************************************************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: z1L/ /' e/3 604147-
S -49-2
CONTRACTOR: , a - �G9rr s �• PHONE: S D F - 2,79 - b- 7 e''
.71/ Z",.0 V -74;' 6.11Ltur
MAILING ADDRESS:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL:
PHONE:
ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD:
BUILDING DIMENSIONS:
REQUIRED PARKING:
BUILDING HGT:
STORIES:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP:
2 ?5
SEWER (Y/N): HYDRANT:
„R HA—OMEGA
,�NSTRUCTION
N. 6824 ARGONAUT RD.
SPOKANE, WA 99208
325-0709
TO
328-2878
a...07 //
,,
JOB DESCRIPTION
Estimate/Contract
PHONE
,c26 2986
JOB NAME/MCAT:,
DATE
.7/P1
baret
t
� .
/2. -?7/
o At e
N° 1761
/'P rep o / fi O u 5e f) tie-� / y- 6,s,1:2 d 0 l� r'
a,. ..s-74......: 20 4rem• 2ICSO 0s• �a...
t h / /icr6,o7/ .,--t'a,c rJ4 , /=-Ta ,if l'/(e-
,A/A4., ^ CO ,,‘ 7 A ‘ ..1 , ii (9 7/ 4:k /0- ewe,' ”‘ e e -o -r c:tir",4
ei1/2 e >1--`f�r i-- Pae i ct-, " d c ,04e. r h o c71;
ee2' C-0 412
e'LA, "7,07
„Irt/
1)(
rrJ
2UI
THIS ESTIMATE IS FOR COMPLETING THE JOB AS DESCRIBED
ABOVE. IT IS BASED ON OUR EVALUATION AND DOES NOT IN-
CLUDE MATERIAL PRICE INCREASES OR ADDITIONAL LABOR
AND MATERIALS WHICH MAY BE REQUIRED SHOULD UNFOR-
SEEN PROBLEMS OR ADVERSE WEATHER CONDITIONS ARISE
AFTER THE WORK HAS STARTED. CUSTOMER SIGNATURE CON-
STITUTES ACCEPTANCE OF ESTIMATE COST AS CONTRACT
AMOUNT.
Estimate Cost
,*Y3
Offered By D 42Z
Customer Acceptance
Title