1993, 09-08 Permit App: 93008073 Reroof APPLICATION! WO..RKSHEET q 3 -7073
General Information y
Job address/�/� � � / r Parcel number
lW//�Odi,'LC f--c— i
Owner Phone 1
//(�{�r 4- 4[H t e Li-y-ye-S - �t��-CP-s ?,2- / 75-2-,
MailMg�ddrress G /�
City
/ / / o ` ' OC) i'U State 7 Zip
n 7C/6412 r— I// L5 , 9f
Site Information
t
Legal Descnption
Property size WaterUtstnct Numberol: Dwellings Buddtags
Project Information y
Permit Use New Addition Remodel Change of use
Building Information II
Dwelling units Occupant load Building height Stones
Building dimensions total square lootage Req'dparking Handicap parking Sprinkler system Critical Ma tenal
-
Heating and insulation information (R—values)
Sqe
a um arBoorfootage breakdown Uncovered/covered deck Heat source
Second Boor Other Hat ceiling Vaulted ceiling Above grade wall
Finished basement Below grade wall floor Slab on grade
Unfinished basement Door(u—value) Window Furnace etlicency
Garage
Lola l window area %of flour area
1 N.
Contractor Information l
1
Building contractor `Ptumbingcontractor - 1
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
1
PROJECT CONTACT PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675