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2000, 09-27 Permit App: 00008724 Re-roofProject Description: PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 Q� 509-477-3675(f TYPE OF APPLICATION 13 Building Permit ❑ Change in Use O Grading ❑ Manufactured Home Permit O Relocation ❑ Sign ❑ Tenant (New/Change) I ©'"Other 'e«y , , SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): Legal Description: Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks Front: Rear: lift: Right: School District: Fire District; Zoning OWNER/APPLICANT INFORMATION Q Indicate who should be contacted reoardino this nrnivrr ❑ Owner: Phone: Applicant: Phone: '- Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Mailing Address: Mailing Address: Dimensions Total habitable space City, State, Zip City, State, Zip Finished basement sq. ft. Occupancy group Construction type ❑ Contractor Phone _' "/—,J jo; ❑ Architect/Engineer Phone �r Fax Fax Mailing address / Mailing address City, State Zip City, State Zip W State//Contractor license N Contact name: PROTECT INFORMATION IN M Building Information Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. ar,e Dimensions Total habitable space 2"d floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project Heat source (electric, gas, etc.)