1994, 04-29 Permit App 94003767 MHAPPLICATION WORKSHEET
General Information
Job address -- -- - -
Iwncr
f l I a dress
i
/lot gO jr AC14 %7Q tate
y Ip
Site Information
93 X _ o l C o rdo 3q Uf .0
one nspector oA wt t
r3 L
(Building Information
eL'�. Q0 -Y)
-Dwelling units
care
ccupant oa
w mg eig it
tortes
Building imensions
Fota I square lootage
eq par • ng
SprinUer system nttca stens
footage breakdown
e oor
U ttcovere/covered ec -
Second Floor
ter
Finished basement
oor
Unfinished basement
oor u-va ue
a ra ge
urnace a teeny
Contractor Information
Heatm and insulation information 1 -values)
eat source
Hat ceiling
aut ceimg
vegra awa
Below grade wa
oor
a on gra e
oor u-va ue
mow
urnace a teeny
totalwindow area
io o oorarea
u Ing contractor
um mg contractor
[cense number tone
[cense num er one
Mailingaddress
atmga rens
Ily, slate, zip
tty, state, zip
Ilea t ing contractor
Other / Lender
(cense num er tone
(cense num er tone
atmga rens
atIng a ress
city, state, zip
dy, state, zip
i,k6jr_cr
Acr
PllUN1;
Spokane County Division of Buildings
4nnc In/,,t Avco * Qnnlenno Wa 997F(1 * 15091 456-3675