1995, 06-01 Permit App: 95003805 ReroofAPPLICATION WORKSHEET it
L General Information
LTlridithe /3D// /flet r(n,L (/
Ii'a1 number
/ BS05
'-.situ dress
Tit /��X
/3o// %rw,!/ state
L✓
7;p
99.2/
1
Site Information
Legal Oescnpnon
operty sae
Lone
iter Uutnc
Inspector
umberol: Uwcllmgs
Road width
Project Information
*-15. /c —' y /%— J c
•
1
Permit Use RG e2 7(.11M
/t O
l
Building Information
New !Addition I Remodel II -house of use
Uwelhng units
Occupant load
Budding height
Icon
Stoner
Matenal
Building dimensions
l Mal square lootage
Req d parting
Handicap parting
Spnntler system
I Lid cal
a rage
License number Phone License number
Phone
• tare foota,e breakdown
Plumbing contractor
hcovere• coverer •ec'
Icon
oor
rat er
•mts 0
easement
e
Gly. sta is zip
a rage
License number Phone License number
Contractor Information
and insulation information R—nl
_"
Budd mg contractor
Plumbing contractor
Lice number /one
OL— CC 06602. eaccn 7
License nbnber
Phone
kmLss
Mar mg d
Marling address
City. stale. zip
Gly. sta is zip
Healing contractor Other / Lender
License number Phone License number
Phone
aiTi lmgitdress Mailing address
City. state zip GALLOWAY CONSTRUC Veit 60
- tr 11,,,1 _ ,A,ntl
•
I J2OJECI' CONTACTfir^ 6 re (o r'
Spokane Wa. 99223 `a" Z s—(g
Spokane County Division of Buildings