1994, 03-18 Permit App: 94002216 MHl[ APPLICATiON WORKSHEET
General Information
-Tole i 1dress
Ott
wner
City
Site Information
tate
t'none
993
Legal Descnption
Property size
Zone
Water District
Number of: Dwellings
Buildings
Inspector
Roadwtdth
imrioriVect Informati n
y�- 1y'e Size- ,Z� XYZ
Permit Use
1
w(.c
/`-/ /..Q
/
Budding dimensions
New
>(
Addition
Remodel
Change of use i
It C -e.1,-.1---7
Building Information
Dwelling units
Occupant load
Building height
Stones
Budding dimensions
'Total square footage
Req'd parking
Handicap parking
Sprinkler system
Cntical Material
Square footage breakdown
Main floor
Uncovered /covered deck
Second Iloor
Other
Finished basement
oor
Unfinished basement
a oor a—va ue
Garage
urnace a ioency
Contractor Information
Heatin. and insulation information R—values
eat source
at cei ing
1
License number
Phone
oor
Phone
a oor a—va ue
' inow
urnace a ioency
ota win •owarea
oo oor area
Building contractor
Plumbing contractor
1
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
Ma ding 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