1993, 07-13 Permit App: 93005765 DeckAPPLICATION WORKSHEET
General Information
Job address F2--/
S• /8/Lf
Parcel number
r
Owner
Douly AM YF/k Lv
Malting address
S, 3 F- r 4 0/.? / C -
Phone
92c( _q 77
City
Sr'oX---4//E
-State
w.4
:Gip
Site Information
Legal Descnpuon
ofhE 6m�vplT/01) DoT 3/
Property size
VSs x 12_C
Water Uistnct
Project Information
Numberot: Uwelltngs
Buildings
Permit Use
New
jddition
Remodel
Change ofuse i
Building Information
Dwelling units
Occupant Toad
Building height6-7 „
Stones /
buildingdimensions
1otalsquar tootage�
lteq"dparking
Handicap parking
Spnn(clersystem
CnnealMaterul
i
x /S F'
Unfinished basement
% of floor area
r
tiarage
1
Square footage breakdown
Heat source
Main floor
i 7 S .d -V
Uncovered /covered deck
G/tiCoL' L Q
D c/
Second floor
Other
Slab on grade
Finished basement
Window
FurnaceelLcency
Unfinished basement
% of floor area
r
tiarage
1
Heating contractor
Contractor Information
Heating and insulation information (R -values) t
Heat source
Hat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Ploor
Slab on grade
Door(u-value)
Window
FurnaceelLcency
total window area
1
% of floor area
r
Building contractor
Plumbing contractor
i
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
Heating contractor
Other / Leader
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