1993, 05-17 Permit App: 93003595 Reroof APPLICATION WORKSHEET
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Job
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Owner Phone 1
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Mailing address
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Site Informationil
Legal Descnption
Property size WaterDistnct Numberot: Dwellings Buildings
- Ins . tor Roadwidth
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Project Information I
Permit Use. o,,,. New Addition Remodel Change of use
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Building Information
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Dwelling units Occupant load Building height Stones
Building dimensions Total square tootage Req'd parking Handicap parking Spnnkler system Cntical Material
Square footage breakdown Heating and insulation information (R—values)
Main floor Uncovered/covered deck Heat source
Second tloor Other Hat ceiling Vaulted ceiling Above grade wall
1^inished basement Below grade wall Floor Slab on grade
Unfinished basementDoor(u—value) Window Furnace ettioency
Garage
Total window area %of Boor 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