2001, 04-20 Permit App: 01002746 ReroofIBBI
SI'OI(AI',Cout' ry
Street Address:
Q
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
&3D�P a
Assessor's Tax Parcel Number(s):
Cwt`-'
Legal Description:
Project Description:
❑ Budding Permit
O Change in Use
O Grading
O Manufactured Home Permit
O Relocation
O Sign
O Tenant (New/Change)
O Other
- "ii" +: ' z3'Sne 'J.•s'S
=De artment-: ek®IT
P
',"2'�'= s Sv-ati
_s, al'ST
- �r
s
✓.>;K syst .,x ,ym,
nF _iv"S Yy'+:•$
z __-,
•Y .ro."4=En.-�'• -=;v. -re.
yea( A _ Y
-Ai
Y si
� _. ..-
tce^' i7lltt z/Pu.ry[ s
=r'{eta sxi awn S 3,P #
ac..S.fiac i'L�'r3r «fir
Disn'J�P,ieY%:.,.•z.*3jas"ao";P
i ;pvs}� Vis: r -c,
v-.w�- u'3`a":.?fir Y-..zS'a-�G''
uus
-.u•
,•*-,."sal-cr
G
1<'•' ;itV^4h.n-�.i
Cs: .F- s"�v=
•lmni, t S� .�Aiac'L
�`.r :,�C't-,ami'
IxE
9,=3:
.6'.4-<°»a''.�:s'
``z`;'-,^•.?es,uv�.,.a,a.-r--tir�-:nr-tys __"
'i
i t"n. "`,`.'`s{.i
f h`•:" -
`.
tlxR--,,g.3' �.-o
-X tl « �`t:
TEE
ztIin{ r.qs
i;."•?:at.-euibR•s:§...ii.�..�
'L�scr'
a
?Aies,U%'#iflnc•aa•r, , +f
.ran ,..w
•..:Grl1:s
t-
..,.:rpsi&+n «.oaf:
OWNER/APPLICANT INFORMATION
121 Indicate who should be contacted regarding Ibis project
0 Owner: Phone:
Fax:
9+3vC1;j •.
n
0 Applicant
Phone:
Fax:
Mailing Address:
->o-c:z_T=#
Unfinished basement sq. (t.
Mailing Address
N of stories
City, Stam, Zip
Total habitable space
Ciry. State, Zip
Finished basement sq ft.
$'Copn� cto /�//(�//� '',, nn'',^,Ph//one
/7iJ4Q 67 Seket (
r2 0 S.??
E
S- .L t . e
0 Architect/Engineer
Phone
Fax
Mating addressr�
1Sf3G/U Pine 2t9c1<-)'S
Hear source (electric, gas, em.)
Mailing address
Cit 4tateeZip / mss ^ �l g q
City, State Zip
W tall Cony2ctor license 1
(-E `C S S IL 027 RR)
Conutt name:
PROTECT INFORMATION
^l:'i+Mi`fi_y%�•i2a '•P.' h '
ar'
9+3vC1;j •.
n
ar ".
n nationat
�
Main floor sq. ft.
i=u'c9-^a-
ceSh^-c
.'«
->o-c:z_T=#
Unfinished basement sq. (t.
Budding height to peak
N of stories
Dimensions
Total habitable space
Zed Floor sq. ft.
Finished basement sq ft.
Occupancy group
Construction type
Garage sq. h.
Deck sq. ft.
Cost of project
2, 20o, Do
Hear source (electric, gas, em.)