1994, 01-27 Permit App: 94000666 Demo Residence (..k "C) APPLICATION WORKSHEET
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General Information
Job address Parcel number 4,11 ;3 • ' ^ v
E . 15516 ValleywayO�
Phone
Owner
ROBERT ROSIER 624-3777
Mailing address
S. 613 Washington #102
City StateZip
Spokane WA 99204
Site Information
Legal Description . /,��GA
Residence �/ d
Property size Water District NumberoC Dwellings Buildings
7Ane inspector; Kagdwidth
_ Project Information I
Permit Use New Addition Remodel Change of use 1
Demolition
Building Information 1
Dwellingunits Occupant load Building height Stones
1
Building dimensions Total square tootage Req'd parking I Handicap parking Spnnkler system (CnticalMaterial
18 X 20 360 sq. ft .
Heating and insulation information (R—value:)
Square
Mani doorfootage breakdown Uncovered/covered deck Heat source
360 sq ft .
Second floor Other Hat ceiling Vaulted ceiling Above grade wall
Nmished basement Below grade wall Floor Slab on grade
Unfinished basement Door(u—value) Window Furnace etUcency
I otal window area %of Boor area
Garage
[ Contractor Information
Building contractor
Plumbing contractor i
Larson ' s Demolition , Inc . Phone
License number Phone License number
LARSO DI 164RU 535-7944
Mailing address Mailing address
•
City,ste,zip6 5 0 5 9th Ave . city,sta te,zip
Spokane , WA 99212 _
Heating contractor Other/Lender
License number
Phone License number Phone
Mailing address Mailing address
City,state,zip City,state,zip
PROJECT CONTACT PHONE
Jeff Larson 994-3995
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675