2001, 05-08 Permit App: 01003372 Tear Off, ReroofI�I
ADE
SPOMRECouvy
PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description
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TYPE OF APPLICATION
$--Building Permit
El Change in Use
0 Grading
0 Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
0 Other
SPECIFIC SITE INFORMATION
Street Address: t 3 r„ t c we -ILC) 7Lce »-
0 Applicant.
Phone
Fax -
Mailing Address-
Mailing Address:
Unfinished basement sq. ft.
Assessor's Tax Parcel Number(s):
City, State, Zip
2nd floor sq. ft.
0Contractor Phone y«8-s09y
ACP/MC COA) sr/t-0Cr.A»Fax (CJ 41-4-0 /
❑Archnect/Engineer
Phone
Fax
Mail' address
e%Ca 9 E G t EN,Jn i 4-G D n
Legal Description:
Cost of prof.
City, State Zip '
SipeK_ >JJc c• -)n- `l12 -t-?
City, State Zip
WA tate Contractor license p
rLP,.uctf 036r•n]
Contact name:
Dearmenw'U' sN Only
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OWNER/APPLICANT INFORMATION
Q Indicate who should be contacted reeardtn2 this Drotert .
0 Owner: Phone:
Fax:
0 Applicant.
Phone
Fax -
Mailing Address-
Mailing Address:
Unfinished basement sq. ft.
City, State, Zip
City, State, Zip
2nd floor sq. ft.
0Contractor Phone y«8-s09y
ACP/MC COA) sr/t-0Cr.A»Fax (CJ 41-4-0 /
❑Archnect/Engineer
Phone
Fax
Mail' address
e%Ca 9 E G t EN,Jn i 4-G D n
Mailing address
Cost of prof.
City, State Zip '
SipeK_ >JJc c• -)n- `l12 -t-?
City, State Zip
WA tate Contractor license p
rLP,.uctf 036r•n]
Contact name:
PROTECT INFORMATION
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'Buildiri �Informan.0fL.
Building height to peak
N of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2nd floor sq. ft.
Finished basement sq. ft.
Occupancy' group
Construction type
Garage sq. ft
Deck sq. ft.
Cost of prof.
Heat source (electric, gas, etc.)