1993, 09-17 Permit App: 93008515 MHAPPLICATION WORKSHEET
_ General Information
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313-Fs/s
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Mailing address
City
State
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L Site Information
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Legal Description
Property size
Water Distract
Number ot: Dwellings
Buildings
Inspector:
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Project Information
Permit Use F
New
Addition
Remodel
Change ot use i
Building Information
Dwelling units
Occupant load
building height
Stones
Budding dimensions
7
Total square tootage
Req'd parivng
Handicap pa dung
Sprinkler system
Cntical Matenal
Square footage breakdown
Main floor
Uncovered /covered deck
Second floor
Other
Finished basement
Floor
Unfinished basement
Door (u—value)
Garage
Furnace efficency
Contractor Information
Heating and insulation information (R—values)
Heat source
flat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace efficency
Total window area
% ot floor area
Building contractor
—Plumbing contra for
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, state, zip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675