1994, 11-03 Permit App 94011010 DemoII APPLICATION WORKSI-ILL=
- -yL General Information
]ob addreu r 1'iiiicl nwiiber
I5ib / 1519 .A, PiN,� 71)-3/8 E r C ss1e
-City
-State
Phone
Zip
L
Site Information
Project Information
3` 1371v0
Permit
44.61
New
rd'dil ion
Remodel
Change or use
Building Information
Dwelling units
/DOD eqc
Budding dimensions
Occupant bad
'total square lootage
u ing eig il—t
lieq dpailing
lla nddica p parking
Stones
SpnnlcJer system
Square footaxe breakdown
1.
Main Boor
-Second
Uncovered /covere
ee
Moor
OT er
— --
—
Finished basement
Unfinished basement
Gauge
Contractor Information
ing coo c or
n61 S V eMbll /1 BVI
License umber
er Phone
Mailing address S '� .13 8
7ity,rlale,zip 791 7 GLl►1Y11�p 9'r'',
Ht as, 1`1$,4tA,
Heating utr ctor
License iun�er
-Iai inT 6 address
-City, stale, zip
9ak- OL/3/
Phone
IPROJT CT COr I'AC�I•
Ifealin and insulation information (R—values)
eat source
Fla ea mg
' au •. cei ing
Above grade wall
Below grade wall
floor
-'SGb on grade
Boor (u—value)
" "oii1
' in • ow
urnace a ioency
window area
% or floor arca
Plumbing contractor
'License number
Mailing address
City, state, zip
1
—Phone
other / I,eodcr
license number
Mailing address
City, slate, zip
Phone
PIIONi
Spokane County Division of I3uildintls