1994, 04-13 Permit App: 94003074 Finish BasementBuilding Information
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APPLICATION WORKSHEET
_ General Information 1
Job address
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Owner
Mailing a ress
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City
Pa rcer number
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Zip
Site Information
Legal Description
Property size
Water Uistnct
Project Information
Inspector
Number ol:
IRoad width
Permit Use /PJ/ /J < I New
Addition
Dwellings Buildings
Remodel
Change of use
Dwelling units
Occupant Toad
Building height
Stones
Cntical Material
Budding dimensions
Total square footage
Req'd parking J Handicap parking
Spnnkler system
Garage
Furnace ettiioency
I otal window area
Square footage breakdown
ain floor
Uncovered /covered deck
Second tloor
Other
Finished basement
Floor
Unfinished basement
Door (u—value)
Garage
Furnace ettiioency
Contractor Information
Heating and insulation information (R—values)
Heat source
IHat ceiling
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace ettiioency
I otal window area
% of tloor area
Building contractor
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Plumbing contractor/' OX
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License number
Phone
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AiMai mg address
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Mailing address
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City, state, zip
Cuy.state zip
Other/Lender
HeatingoaL ntractor
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City. state. zip
PROJECT CO
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Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
REGISTERED AS PROVIDED BY LAW AS A: '
yE AL
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'REGISTRATION NUMBER
',EXPIRATION DATE
01
A VVICH COESPF.
Ia/1619.4
EFFECT I VE DATE
10,'06 2
EV I CH .e,,ENEI4AL. CONSTRUCT 1 ON
N J6 9 NETTLETON a`#
SPG3 t" NE WA 99205'..
SIGNATURE '
ISSUEdBY DEPARTMENT OF LABOR AND 15.5„.„