1994, 08-29 Permit App: 94008375 ReroofAPPLICATION_ WORKSHEET
L General Information
JobUIress
1-Panrel number
Owner
Mailing address
City
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Site Information
State
Legal Descnption
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lip
Property size
Water District
Number ot:
Dwellings 13u dings
Lone
Inspector'
Road width
Project Information
Permit Use
New
)Additwn
Remodel
Change oruse
Building Information
Dwelling units
Occupant load
Building height
Second floor
Stones
Finished basement
I3wlding dimensions
'Total square tootage
Req'd parking
1 handicap parking
$pnnkler system
1 Critical Matenal
square footage breakdown
Main floor
Uncovered I covered deck
Second floor
Other
Finished basement
License number
Unfinished basement
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Garage
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Contractor Information
5c/S" et2
Healin. and insulation information R—valoes
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License number
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Phone
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License number
Phone
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Iiulldutg contractor
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Plumbing contractor
License number
4C"v66t5
Phone
&.z4 3o67
License number
Phone
Mailing address
07
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Mailing address
City, state, zip,
City, state, ztp
Heating contracfor
Other / Lender
License number
P Kone
License number
Phone
at-TTilTiigaa ress
Mading address
City, state, zip
City, state, zip
PROJECT CONTACT
I'IIONE
Spokane County Division of Buildings
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