1993, 04-02 Permit App: 93002082 RemodelAPPLICATION WORKSHEET
General Information
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Parcel number
471 i/ / 7
Owner�7
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Phone
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City
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State
Zip
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Site Information
Legal Descnption
Property size
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Water thstnct
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Project Information
Number ot:
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Dwellings
Buildings
Permit Use
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New
Addition
Item
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Change of use
_ Building Information
Dwelling units
Occupant load
Building height
Stones
Building dimensions
'total square footage
Req'd parking
Handicap parking
Spnnkler system
CnticalMaterial
Square footage breakdown
ain floor
Uncovered / covered deck
Second floor
Uther
Finished basement
Floor
Untmished basement
Door (u—value)
Garage
Furnace e[Cicency
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 e[Cicency
Total window area
% ot tloor area
Building contractor
Plumbing contractor
License number
Phone
'cense number
Phone
Mailing address
Mailing address
may, 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