1993, 06-02 Permit App: 93004191 ReroofProject Information
APPLICATION WORKSHEET
General Information
Job Pegs
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Ma ling address
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Owner
ite Information
93—(-)(9(
Parcel number 44 5 8 2 4, V- r 0
Phone
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Legal Uescnptiou
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c[X�p1 1000
New
Addition
Remodel
Change of use i
Keq'd parking
Handicapparlung
Spnirlder system
UiticalMatenal
Furnace ethcency
Coral window area
-I
Property size
Water Distnct
Heating contractor
Numberot: Uwelhng$
Buildings
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Permit Use, - �
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c[X�p1 1000
New
Addition
Remodel
Change of use i
Building Information
Dwelling units
Occupant load
Building height i
Stones i
Building dimensions
total square lootage
Keq'd parking
Handicapparlung
Spnirlder system
UiticalMatenal
Svuare footage breakdown
am floor
Uncovered/covered deck
Second floor
(Aber
Pinched basement
Floor
Unfinished basement
_
(ia rage
Furnace ethcency
Contractor Information
Heating and insulation information (R -values) t
Heat source
Plat ceding
vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u -value)
Window
Furnace ethcency
Coral window area
-I
Yo of floor area
Building contractor
Plumbing contractor
1
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, scale, zip
City, slate, zip
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675