Loading...
1994. 05-16 Permit App: 94004362 ReroofL General Information APPLICATION WORKSHEET /f76�ares loco /3o© ,13 Pam lurnlrer �S i�31 - X85 -Owner (a 6Li / _ ��iliii ]ddress Dd�_11i1r/JYoVc 62a I���1`=F0,,tC) 5, L \ City sloe Phone 93 C7 Ip0 1 Site Information Legal Description _ AST 6' S) —Property size Water Unine Numberot: Dwellings Buildings Lone ss Inspector G :Road width Project Information IN Pe it Use tkfY Building Information x New I Addition Remodel Change of use Dwelling units Occupant load Budding height Stones Budding dimensions total square tootage Req'd parking Handicap parting Sprinkler system Critical Matenal Garage urrace e army Sq tare footage breakdown Main Boor Uncovered /covered deck Second Iloor tither Finished basement oor Unfinished basement ISM Garage urrace e army Contractor Information' WES��MZ�r�C� , Heatin, and insulation information R—value, • eat source at cei ing License number Phone RiesteN1 iID-00(1 O 3020 ,23od—f ..ve gnewe, Phone oor aeon gn•e ISM ' i urrace e army Ola win OW area Heatingco tractor Blu/ddding contract S _ ,S 1 / vo,rl 1 ., tS C5-�-/V /I/I Y " ` ` Plumbing contractor r License number Phone RiesteN1 iID-00(1 O 3020 ,23od—f License number Phone Mailing address, I y� / r j9) 0 QD/,c° 1 3 /V /01 5 �\��J tvsadmg address City, slalq.,zip_ s _ , 0)-- 0..5 �� 1/` _/ \% City. slate. zip Heatingco tractor Other/Lender License number Phone License number Phone Mailing address Mailing address City, state, zip City. stale. zip PROJCCr CONPACP PHONE Spokane County Division of Buildings 1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675