1994, 08-08 Permit App 94007527 Fire RepairC11-1--1527
APPLICATION WORKSHEET
[_General Information
Jobnress
Parcel number
°w""Z.AAJeT--re /1AJ 16-g-r"
Mailing address
1—ez_T5
City
State
7ip
92— e)
Site Information
1
Legal Descnption
Property size
Water Distnct
Numberol:
Road width
Dwellings Buddinp
Project Information
r,ve t'Use
X -rrir.Q omo onrio>
L Building Informition
30 oco
Addition
cm/
Change of use
Dwelling units
/
Occupant load
Building height
Stones
Matcnal
13tld mg dimensions
I otal square rootage
Keq'd parking
Handicap parbng
Spnnkler system
I Cntical
uare footage breakdown
Main floor
Uncovered /covered deck
Second floor
Other
Innished-basement
Unfinished basement
Garage
Contractor Information'
Heattn and insulation information R—valoes
Butfatng contractor
-----
Plumbing contractor
License number
none
16-
License number
Phone
Mailing addfess
3 /3
Mailing address
,)/
l....ity, sta te, zip
97-72-.0
City. state. zip
Heating contractor
Other/ Lender
License number
Phone
License number
Phone
lvTaTri7Jalg a ress
-Mailing address
City, state, zip
City. state. zip
PRS__) _MCT CONTACT
PHONE
g2-2- - :563Z-
Spokane County Division of Buildings
AI _ * ‘*1-. nclogn * /R(101 qP qg7g