1993, 09-24 Permit App: 93008834 RemodelL
General Information
APPLICATION WORKSHEET
Job address
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Parcel
number
Owner
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Mailing address
2 honz2g3
City
State
Zip
Site Information
1
Legal Descnption
Property size
Water Distnct
-Zone:>
Number of:
ROAd W idth
Dwellings
Buildmpj
Project Information
Pe_nmt, Use
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New d anon
elnodel
Change of use
Building Information 1
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Dwelling units
Occupant load
Building height
Stones "1-7
Ma tenal
Building dimensions
Total square footage
Req'd parking
Handicap parking
Spnnkler system
Cntical
Furnace efricency
lbtal window area
Square footage breakdown
Main floor
Uncovered /covered deck
Second floor
Other
Finished basement
Floor
Unfinished basement
Door (u -value)
Garage
Furnace efricency
Contractor Information
Heating and insulation information (R -values)
Heat source
Hat ceding
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u -value)
Window
Furnace efricency
lbtal window area
% of tloor area
Burldmg contractor p
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pp �+
Plumbing contractor
License number/ 1 1 //-� n
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License number
Phone
Mailing a dress
P c. Qbx 37oCr9
Mailing address
City, state zipC
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1(4.4t- '
92ZO
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