1993, 09-13 Permit App: 93008240 ReroofProject Information
APPLICATION WORKSHEET
General Information 1
Job address
1118 N Burns
Parcel number
/ L J / ULT J
Owner
Ed Basler
924-5556Phone
Mailing address
1118 N Burns
City
Spokane
Wa
State
99716
Zip
Site Information
Legal Descnption
Property size
Water Uisinct
Number ot: Llwellings
Buddmp
w
Valuation $4179.65
Fee $98.46
Permit Use
New
Addition
Remodel
Change of use
Building Information
Dwelling units
Occupant load
Budding height
Stones
Building dimensions
"total square rootage
Req'dparking
Handicapparkmg
Spnnklersystem
enticalMatenal
Square footage breakdown
Main floor
Uncovered /covered deck
-Other
Second -Boor
Finished basement
Below grade wall
Unfinished basement
.
Uarage
W endow
Contractor Information
1
l
Heating and insulation information (R.—values) t
Heat source
Matcedmg
Vaulted ceding
Above glade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
W endow
Furnace ellaency
'l otal window area
% of Iloor area
Budding contactor
Spokane Roofing Co.. Inc
Plumbing contractor
t
License numberOKAR*340L7 838-84 o e
License number`�/ 7
Phone
Mailing address
P.O. Box 3946
Mailing address
>54/(3
City, state, zip
Spokane Wa
99220-3946
City, state, zip
.
Heating contractor
Other/ Lender
License number
one
License number
Mai mg address
Phone
Mailing address
'City, state, zip
City, state, zip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
DEIACII 10 DISPLAY CERTIFICATE
DEPARTMENT OF LABOR AND INDUSTRIES
THIS CERTIFIES THAT THE PERSON NAMED HEREON IS REGISTERED AS PROVIDED BY LAW AS A
SP Mot E. ROOF
P 0 BOX' 3946
SPOKAN E
NGC0 INC
WA 99 22 0 394 6
STATE OF WASHINGTON
1._ DETACH TO DISPLAY CERTIFICATE
- eliRRATIati DATE:c
1eI
SP0K.A RIP'S 0.31 :
, . „ FFECTIVE DATE-
0 7 /1 ..4.,"-
06/2 7146
SP Mot E. ROOF
P 0 BOX' 3946
SPOKAN E
NGC0 INC
WA 99 22 0 394 6
STATE OF WASHINGTON
1._ DETACH TO DISPLAY CERTIFICATE