1993, 09-03 Permit App: 93007962 Reroof (13 - 704, Z
APPLICATION WORKSHEET
General Information y
Job address Parcel number
13(21‘5 F , x3411
OwnerPhone t
YVIcLee ci ��r_06
Mailing address
� 7OS ��)t> . 1 -,ace ? ( � Q
City State Zip
litJ!1 S niC t 4 iLd5
� 7
Site Information y •
Legal Description
Property size Water District Numberot: Dwellings Buddmgs
Project Information II
Permit Use New Addition Remodel Change of use
Building Information
Dwelling units Occupant load Building height Stones
Budding dimensions 7otalsquare lootage Req'dparking Handicap parking Spnnkler system Critical Material
Square footage breakdown Heating and insulation information (R—values)
Ma m floor Uncovered/covered deck Heat source
Second floor Other Hat ceiling Vaulted ceding Above grade wall
Finished basement Below grade wall Floor Slab on grade
Unfinished basement Door(u—value) Window Furnace etlicency
Garage Total window area %of floor area
—
Contractor Information II
co tractor Plumbing contractor
Budding
� )it) SCJ CJ
License number hone License number Phone
53
Mailing address Mailing address
9/ /U ,159
City,state,;iO City,state,zip
de
Heating coot for Other/Lender
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