1993, 05-21 Permit App: 93003834 Garage Footing, FoundationAPPLICATION WORKSHEET
General Information
Job address
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Parcel number
Ownel
J re n cY n.
Mailing address
VrU� S Grr,r�. ) c;vie,
l 0 Y a 9 km n( (° S
Lily
Site Information
29Phof/yq )
stale
LtJ�,sH
Zip
TIDescnptson
Lot
if
Addition
Remodel
Lhangeol use I
Budding dimensions
l otal square loolage
Req'd parking
Handicap parking
Window
Furnace ellancy
Unhnished basement
Property size
Water District
f/
Oc n a/c / r o n
Numberol:
Dwellings
Buildings
Lone
inspector.
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Roadwidth ....
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Project Information
Permit Use
New
Addition
Remodel
Lhangeol use I
Buildin• Information
Dwelling units
Occupant load
Budding height
Stones
bpnnkler system
tr
Cntical Matenal
Budding dimensions
l otal square loolage
Req'd parking
Handicap parking
Seuare footage breakdown
Heal source
Is am floor
Vaulted ceiling
Uncovered /covered deck
Second floor
Floor
Other
Finished basement
Window
Furnace ellancy
Unhnished basement
% ol floor area
ba rage %QoJ;n q
f/
Oc n a/c / r o n
Contractor Information
Heating and insulation information (R—values)
Heal source
Hat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace ellancy
total window area
% ol floor area
Budding contractor I
Coo lc Pc3.-ens
Phone
9 2 5'- 93/ X
Plumbing contractor
License number
Agin address
8
Phone
Licease number
Mailing address
Lay, state, zip
City, stale, zip
I (eating contractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Mailing address
tiiy, state, zip
—City, state, zip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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