1994, 06-02 Permit App: 94004985 Reroof1
APPLICATION WORKSHEET
1_ General Information
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Jngl) S. (//2"""'t
Tri ling address
/32 (3 f) cf/
City
--State
Parcel number
-5o31. /$0
Phone
Site Information
Legal Description
Wit,4 Oc PT o¢ Tay EXC 7--
6-1. I^l /O6 F7— 15f E.2S 6 Fr-
-property size Water District
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Inspector
Lone .1,? f U J 3
Number ot:
Dwellings
Buildings
oad Width
Project Information
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I
L
S e
I New Addition Remodel
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Change of use
Building Information
Dwelling units
/
Occupant load
I. ulding heightStories
'
G
/ '1" 6A`'
Building dimensions
Total square too age
'lteq'd parking
Handicap parking
Spnnkler system
;v D
Cntical Matenal
Square footage breakdown
Flea t lore r
r --
Main floor
ID,
Uncovered /covered deck
Above grade wall
Slab on grade
Second Iloor
Other
Window
Fmtshed basement
Iota Iwindow area' '
H
% of floor area
Unfinished basement
, /
-Garage
ti
Contractor information
Heating and insulation information (R -values)
Flea t lore r
r --
Hat ceiling
Vaulted ceiling
Above grade wall
Slab on grade
Below grade wall —Floor
Door (u -value)
Window
Furnace etrioency
Iota Iwindow area' '
H
% of floor area
Buridang contractor
I
rlumbtng contractor
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TT—cense nuu tuber
Pho
License number
Mailing address
Phone
Mailing address
j
City, state, zip
, /
City, state, zip
Heating contractor
v 1
a
Other / Lender
License number
Phone
License numberonPfi
Mailing address
Mailing address
-City, state, zip
City, state, zip
PROJECT CONTACc7?l C
PI-IONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675