1993, 05-11 Permit App: 93003422 Safety InspectionAPPLICATION WORKSHEET
L General Information
Lk address n%
Owner
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Mailing address
1-37/6,
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City
Lk Site Information
State
IParcel number
Phone
Gip
1
Lk Project Information
[ermit Use
Lk Building Information
Dwelling units
Occupant load
Building dimensions
total square footage
New
Budding beight
Addition
Beq'd parltng Handicap parking
Square footage breakdown
atn floor
Uncovered /covered deck
Second floor
Other
Finished basement
Floor
Unfinished basement
Door (u—value)
Garage
Furnace ettaeacy
l'otal window area
Contractor Informationll
Dr contractor
License number
IRemodel
Stories
Itaiange of use
Sprinkler system (n1ical Material
r
1
1
Heating and insulation information (R—values)
Heat source
Flatcetling
Vaulted ceding
Above grade wall
Below grade wall
Floor
Stab on grade
Door (u—value)
Window
Furnace ettaeacy
l'otal window area
% of floor area
Plumbing contractor
Phone
License number
Phone
Mailing address
Marling address
City, state, zip
City, state, zip
Heating contractor
Other/ Lender
License number
Phone
License number
Mailing address
Marling address
Phone
City, state, zip
City, state, zip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675