1993, 08-24 Permit App: 93007414 Siding ()2 + 4-iLy) 7
APPLICATION WORKSHEET
General Information
Job address Parcel number
Lt) 6 y AP. I,r r, /I,
Owner Phone
Mailing address
City State Zip
Site Information
Legal Descnption
Property size WaterUistnct Number ot: Dwellings Buildings
Lone>: :: m�width
Project Information
Permit Use New Addition Remodel Change of use
Building Information
Dwelling units Occupant load Building height Stones
-Buddingdimensions Total square footage Req'dparing Handicap parking Spnnklersystem CnticalMatenal
Square footage breakdown n Heating and insulation information (R—values)
Main floor Uncovered/covered deck Heat source
Second Boor Other Flat ceiling Vaulted ceiling Above grade wall
Finished basement Below grade wall Floor Slab on grade
Unfinished basement Door(u—value) Window Furnace etficency
Garage 'total window area %of floor area
Contractor Information'
Building contractor Plumbing contractor
License number Phone License number Phone
Mailing address Mailing address
City,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
PRODUCT COMPLAINTS C (..-`v .,=, - 1. S
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DATE APPLIED Lk\-\S DATE RECEIVED NOTICE FROM HOMEOWNER m.M
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