1993, 04-21 Permit App: 93002758 Repair Fire DamageIPROICCI CONTACT
APPLICATION WORKSHEET
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General Information
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Mailing address
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Site Information
Legal Uescnpllon
Property sae
Project Information
Water Untnct
Inspector
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Building Information
State
Number of
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Addition
Picone
6dp
Dwellings Buddmgs
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Dwelling units
Building dimensions
Occupant load
10121 square toouge
IBudding height
Req'd parking
are footage breakdown
am Boor
Second Boor
Finished basement
Unhnished basement
t,arage
Uncovered /covered deck
Usher
[ Contractor Information
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JtTD Cost
License
Mailsng address
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Phone
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Heating contractor
License number
Mailing address
City, slate, ap
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Stones
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Heating and insulation information (R—values)
Heat source
Flat ceding
Below grade wall
Door (u—value)
total window area
Vaulted ceding
Floor
Window
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Above gradewall
blab on grade
Furnace elliceocy
% of Iloor area
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Plumbing contractor
License number
ailing address
Phone
Lily, slate. rap
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License num
Mailing address
Clly, slate zip
Phone
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675