1995, 10-18 Permit App: 95008617 ReroofBuilding Information 1
Contractor Informationll
APPLICATION WORKSHEET
r General Information
Job address
4705 N St Charles Rd
Parcel number
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=Owner
Edith Brogan
Mathis* address 4705 N St Charles Rd
qty
Spokane, Wa 99216
Stale
Zip
Site Information
Legal Uescnption
New
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_ Project Information
Valuation $3000.00
Fee
$69.30
Permit Use
Reroof
New
Addition
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Dwelling units
Occupant Toad
Building heightr
Storrs
Building dimensions
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lolalsquare lootage
Keq'd parking
Handicap parkcrng
Sprinkler system
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Sgnarc footage breakdown
am Moor
Uncovered /covered deck
Second floor
Ulber
I•mahed basement
Floor
Unfinished basement
,
Uarage
l'uraaee effiOniCy
Heating and insulation information (R—valves)
Heal source
Hal ceding
vaulted ceding
Aimee grade Wad
Below grade wall
Floor
Sleben grade
Door (u—value)
Vitiation
l'uraaee effiOniCy
l olal window area
7b of hoer area
13u idmg contractor
Spokane Roofing Co
Plumbing contractor
1
License number SPOKAR340L7
838 ne
license number
phone
Ma ding address
P.O. Box 3946
Mailing address
City, stale, zip Spokane, Wa
99216
ity,`i'la:rp
Heating contractor
Other /Lender
License number
Phone
License number
Pho0e
Mailing address
Mailing address
City, state, zip
City, stale, zip
PROJECT CONTACT Carol or Barb
PHONE 838-8633
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675