1994, 07-22 Permit App: 94006929 ReroofAPPLICATION WORKSHEET
L General Information
Job la -dress
121d0l e ,et/wsGi6r-4
�1'arccl number
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Owner
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Mai ingddress
COS 14(4— SAW& t.eJ 2 6"e
Cay
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Stale
Phx,c
17 -S'/77
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Site Information
Legal Description
1
Property size
Water Otstnct
Number ol: -Dwellings
Buldinp
.Gone
Inspector
)toad wdth
Project Information
Pegm,t Uje
TA)0
New
IAddition
Remodel
Change of use
Building Information
Owe ,ng units
Occupant oa.
:ui •mg erg 1
Second floor
loves
'
Building dimensions
"total square footage
Req•d parking
I Handicap parking
Spnnkler system
I entical Material
Square footage breakdown
ain floor
Uncovered /covered deck
Second floor
Other
Finished basement
license number
Unfinished basement
oor u—va ue
Garage
1
urnace e nanny
Contractor Information
Hestia, and insulation information R—values
• eat source
kiiimiiiimmmi
t
-License number
Phone
license number
Phone
oor u—va ue
"
urnace e nanny
ola win. ow area
City, state, zip
Build mg contractor
/ t�
Plumbusg contractor
t
-License number
Phone
license number
Phone
Marling address
Mailing address
City, state, zip
City, sta te, zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
at mg address
Mailing address
City, stn le. zip
City. state, zip
PROJECT CONTACT
PI IONS•
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675