1993, 05-04 Permit App: 93003157 ReroofAPPLICATION WOR SHEET
General Information
nPP
Joh adasess
t. i/O oo `7/ mGSsro,u
1'e, lnmmber • O( 0
owner
£e. c -R FR AA) CzS Co
Madmg address
£./ODU I r4.1-SsronJ
City
-5-po 4 e.
l'hone
1
Slate
Lip
I92-0.6
Site Information
Legal Descnphoa
Property size
Water District
Zon.
Impactor '
Number ol: Dwellings Buddmgs
:fiq?Awrdm7;
Project Information
['emit Use
tROC/1).
New
Addition
Remodel
Changeot use (,
f
'total square loolage
Req'd parking
Building Information
Dwelling units
Occupant load
Building height
Stones
Budding dimensions
'total square loolage
Req'd parking
Handicapparking
bpnnUer system
enlleaIMalenal
Sparc footage breakdown
Hut source
Main floor
Uncovered /covered deck
Above grade wall
Second Boor
Other
Stab on grade
Finished basement
Window
Furnace eltioeucy
Unfinished basement
Vo of lloor area
Gauge
a
Contractor Information
Heating and insulation information (R—slues)
Hut source
Flat ceding
vaulted ceiling
Above grade wall
Below grade Well
Boor
Stab on grade
Door (u—value)
Window
Furnace eltioeucy
total wmdow area
Vo of lloor area
Budding contractor
4itii inn
FAS f'I L 2
.2 7-e7 <-1,4i
I
Plumbing contractor
I
L e� nZmber Phone
DoPAS 4— 4-o91P8
License number
Phone
Milling address
PO (30x /4/771
Mailing address
City, state, zip
5 0.• C.,,A• %9.2/y-177/
City, stale, rip
Beating contractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Mailing address
City, stale, rip
—7
city, state, rip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings