1993, 04-21 Permit App: 93002752 MHGeneral Information
Project Information
APPLICATION WORKSHEET
o a ress
Owner
S co
90 h3:dol 6 n!
I�GVV� Y1 .Cs) VA
Mailing address /I^^
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City
k.
Site Information
arse num
Q3 -z752
hone
Legal Descnptron
a O�<
Property size
Water ISisinc 903
Numberot: Dwellings Buildings
-Zone:
OndWid
Permit Use
L
New
Addition
Remodel
Change of use i
_ Building Information
Dwelling units
Occupant load
Building height
Stones
Building dimensions
Total square tootage
Req'd parking
Handicap parking
Spnnkler system
Cntical Matenal
Square footage breakdown
ivam floor
Uncovered / covered deck
Second floor
tither
Finished basement
Moor
Unfinished basement
Door (u—value)
Garage
Furnace elf -poem"
Contractor Information
Heating and insulation information (R—values)
Heat source
Flat ceding
Vaulted ceiling
Above grade wall
Below grade wall
Moor
Slab on grade
Door (u—value)
Window
Furnace elf -poem"
'l'otal window area
1
% of -Boor area
Building contractor
Plumbing contractor
i
License number
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