1993, 09-23 Permit App: 93008814 ReroofAPPLICATION WORKSHEET
General Information
caner'DON I- P E - k CR// 4 [ Lone / /
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7 SoL TN 199ieI4 P191gK71ty State
SPOKPA)E AM 613 3, — e9941-7
Site Information
Project Information
Permit UsR,,
a�r 6103. X7 New Y Addition Remodel Changeo use
Building Information
Dwelling units
upant oa
m ing height
tones
---71
Building imensions
Yotal square lootage
Reqd parking
l7bridicapparkinj
Sprinkler system
Material
care foota a breakdown
am oorncovere/covered
ec
Second oor
Other
Finished asement
oor
Unfinished basement
oor u—va ue
Garage
Furnace
Contractor Information
Hetiand insulation information
eatoce
Hat ceiling
Vaulted ceilingAbove
ai ing a cess
e ow grade wa
oor
]va
oor u—va ue
mow
Furnace
ota I window area
area
Budding contractor
Plumbing contractor
[cense number Phone
[cense num er Phone
ai ing a cess
ai litng a —re—ss
City, state, zip
ity, ,state, zip
Heating contractor
Other / Lender
License number Phone
[cense punt er Phone
aiinga ressatinga
ress
City, state, zip
rifT state, zip
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675