1993, 10-29 Permit App: 93010484 ReroofParcel number 1.t , Q^ y
APPLICATION WORKSHEET
General Information
be
Job address
/770),,i,7/-4
Owner
ISR1F P`> J_)0CO n i h
Mailing addre3s i)
City
l 33 c - f-rPe'Le
Site Information
yr / rS
State`
Legal Description
Property size
Water District
Numberot: Dwellings
Buildings
InspectoC
ROad. idth
Project Information
Pe
rt Use
o
ora
VIA.A.Ali
c
no
New
Addition
Remodel
Change of use
Building Information
Dwelling units
Occupant load
Building height
Stones
Building dimensions
'Total square tootage
Req'd parking
Handicap parking
Sprinkler system
CnticalMatenal
Square footage breakdown
Heat source
a in floor
Uncovered /covered deck
Above grade wall
Second tloor
Other
SCab on grade
Finished basement
Window
Furnace eftteency
Unfinished basement
% of floor area
Uarage
x
Contractor Information
Heating and insulation information (R—values) 1
Heat source
Plat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
SCab on grade
Door (u—value)
Window
Furnace eftteency
Total window area
1
% of floor area
[Scolding c tractor
Plumbing contractor
License num ger
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
Heating contractor
Other / Lender
License number
Phone
-License number
Phone
Mailing address
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