1994, 03-11 Permit App: 94001947 Reroofi
APPLICATION WORKSHEET
General Information
45-o337V443
Qv --1T47
Job address
—s
/q ,l)• LOCLJ T
Parcel number
owner
:DO1Jf_�
Phone
Mailing a. dress
/(p/8 /U, UOLLA_ S7
Lily
Et on,v�
l
Lc/A- Sta14
S
Lt
99A04,
Site Information
LegalDescription
Addition
I
Change of use
,/`
RC,apo g
notal square footage
Property size
Water District
Number l:
Dwellings
Budding;
40110 .
Inspector
ROadwidth
City. slate. zip
Project Information
Permit Use New
Addition
Remodel
Change of use
,/`
RC,apo g
notal square footage
Req d parking
Handicapparking
Building Information
Dwelling units
Occupant load
Building height
Stones
Budding dimensions
notal square footage
Req d parking
Handicapparking
Spnnkler system
CnlrcafMatenal
ware footage breakdown
Ma m Boor
Uncovered / covered deck
Second floor
Other
Finished basement
Floor
Unfinished basement
Door (u -value)
Garage
Furnace of iicency
Contractor Information
Heating and insulation information (R -values)
Heat source
Flat ceding
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u -value)
Window
Furnace of iicency
Total window area
% of Boor area
Budding contractor
EL/P.
9Z-2-96.)?
Plumbing contractor
1
License number
Phone
License number
Phone
iiia lmg address
Mailing address
Lily, stale, zip
City. slate. zip
floating contractor
Other/Lender
License number
Phone
License number
Phone
Tda idrag address
-Milling address
City. state. zip
City, slate. zip
PROJECT' CONTACI'
PIIONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675