1993, 07-07 Permit App: 93005510 Remove Garage DoorAPPLICATION WORKSHEET
General Information
Job address e / OV E Ito'? Rd 5 pot[Qtie Wa SJ1 g'LiZ
Parcel number
/�a63—alra`
Owner f Lex ex Tak f a n
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City
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State
Phone
1444.1
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Site Information ,11
Legal Descnption
Property size
Water District
Numberot: DwellingsBuildings
Inspector:
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Project Information `
Permit Use
New
Addition
Remodel
Change of use
Budding dimensions
Lk Building Information
Dwelling units
Occupant load
Building height
Stories
Matenal
Budding dimensions
Total square footage
Req'd parking
Handicap parking
Sprinkler system
Cntical
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City, state, zip
Square footage breakdown
Main floor
Uncovered /covered deck
Second floor
Other
Finished basement
License number
Unfinished basement
Mailing address
Uarage
Mailing address
Contractor Information `
Heating and insulation information (R—value:)
Heat source
Hat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace etficency
total window area
% otBoor area
Building contractor
Plumbing contractor
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
Other / Lender
Heating contractor
License number
Phone
License number
Phone
Mailing address
Mailing address
ity, state, zip
ity, state, zip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675