1994, 01-13 Permit App: 94000321 ReroofL General Information 4
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APPLICATION WORKSHEET
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Owner
City
Silo
Site Information
Legal Description
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ler District
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WPI
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Parcel number
51Sot9. o ei G f/
Phone
Number ot:
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Permit [1 -
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L Building Information
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Dwelling units
Building dimensions
lOccupant
load
total square footage
I New
Addition
Remodel
IBuilding height Stones
Keq'd parting I Handicap parting Spongier system
Contractor Information
Building contractor
License number
Mailing address
Cray, state, zip
I'eating contractor
License number
-Mining address
ty, Stale, zip
Phone
Phone
Change or use
Cntical Matenal
Heating and insulation information (R—value+)
Heat source
Flat ceding
Below grade wall
Door (u—value)
1 otal window area
plumbing contractor
License number
Mailing address
Lily. state, zip
Other / Lender
License number
Mailing address
ity, sate, zip
Vaulted ceiling
Floor
Window
r
1
Above grade wall
Slab on grade
Furnace elliceony
% ot Boor area
Phone
Phone
IPROJECI CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675