1993, 07-26 Permit App: 93006235 ReroofLGeneral Information 1
APPLICATION WORKSHEET
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Parcel number
Owner / 1!Y\
Or N
Madmgaddreuci
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O0 U-3 A x\ .' c. L 7
City
S
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Site Information
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Jtale A
Legal Uescnptton
Property sac
Water District
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Number ol: Uwellinp
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Project Information
permit Use
Re R o O r /000
Building Information
New
prldtlio
Remodel
Change of use
r
Dwelling units
Occupant bad
Hmlding height
Stones I
Budding dunemtons
total square footage
Req'd parlaug
Fla ndap parking
bpnnkler system
enllal Matenat
Furnace ellicency
total window area
1
Square footage breakdown I
Main poor / 700
Uncovered/covered deck
Second Door
tither
Finished basement / 2 o -�
` �l
Floor
Unfinished basement
Door (u—value)
image p et
iOf o
16K-20
Furnace ellicency
Contractor Information
Heating and insulation information (R—slues) I
Heat source
Flat ceding
Vaulted ceiling
Above grade wall
below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace ellicency
total window area
1
%ot floor area
timldmg contactor
Plumbing contractor
License number
Phone
License number
Phone
Ma ding address
Ma ding address
City, stale, zip
City, stale, lip
healing contactor
Other/Lender
License number
Phone
License number
Phone
Ma ling address
Mailing address
City, state, hp
City, slate, zip
1
PROJECT CONTACT
PHONE
Spokane County Division of Buildings