1994, 04-05 Permit App 94002767 Re-RoofAPPLICATION WORKSHEET
General Information
Job address
✓0S" Zae040 G6)4/
Parcel number
—Owner
1/91,1
Mailing address
Phone
City
✓�/��ii' l�iG'G �
State
G✓.
Q Zia
,rs7
Site Information
Legal Descnption
Property size
Water Dtstnct
Inspector
Project Information
3e-05
Number of: Dwellings
Roadwtdth
Buildings
Permit Use
p
es
2as ieeN ce
Addition
Remodel
Change of use
Building Information
Dwelling units
Occupant -load
Building height
Stories
Building dimensions
Iotalsquare footage
Req'dparking 1 Handicap parking
Sprinkler system
Cntical Ma tenal
�guarc footage breakdown
Main floor
Uncovered [covered deck
Second floor
Other
t•tnished basement
Unfinished basement
Garage
Contractor Information
Heating and insulation information (R—values)
Heat source
Hat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace etficency
iota l window area
% of floor area
Budding contractor
5i.-
Plumbing contractor
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
a t ing a ress
-1Gfailing 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