1993, 08-19 Permit App: 93007255 ReroofLis/79 , //-(05 bc
)0c •\--\-1`1\- \-c-`-`)
ti APPLICATION WORKSHEET
L General Information
I Job address /7 / 7 c L L-
(/`7 c.A' pc_3Q,eu,
/eJ State J �J `
Owner
Mailing address
City
IParcel number
--P55
Lk Site Information
Legal Descnption
Phone
Zip
7r AJ r2L — ek
Property size
Lt:T
Water uutnet Go v'v'7r-
Number of:
:Zorae
Inspector
Lk Project Information
f [PermitUse .k -,p 'COF
L
Building Information
Dwelling units
RoadWidth
IAddition
Dwellings ldutldtngs
1 Remodel j Change of use
i
1
Occupant load
Buildin dimensions
C))<'1L
Total square tootage
Budding height
Req'd parking Handicap parking
Stones
Spnnkler system
Untical Material
1
Square footage breakdown
Main floor
M
Uncovered /covered deck
Second Moor
Other
Finished basement
Door (u -value)
Untinished basement
Furnace elficency
Garage
% of floor area
[Contractor Information'
Heating and insulation information (R—values)
Heat source
Flat ceiling
Vaulted ceding
Above grade wall
Slab on grade
Below grade wall --Floor
Door (u -value)
Window
Furnace elficency
Total window area
% of floor area
IPROJRCI' CONTACT
PHONE
L
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
Budding contractor ,/„
-/'I c_-',/\/ ✓ii- ✓c) ; (
) Kin.,
Plumbing contractor
Phone
License number _ Phone
-'A CI C_0o77NGcl
f
6/2612
License number
(Milling address
am drag a rens
/�(, 4d i 7 006feopv
City, sta te, zips
o kAitk7
2
City. state, zip
Other / Lender
Phone
Heating contractor
License number Phone
License number
Mailing address
Mailing address
-City, state, zip
City, state, zip
IPROJRCI' CONTACT
PHONE
L
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675