1994, 06-15 Permit App: 94005513 ReroofSite Information 1
APPLICATION WORKSHEET
L General Information
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Owner
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Legal Description
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Property size
Water Distnct
Number or: -Dwellings I3wldings
Loner
Inspector
Road width
Project Information i
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New
Addition
Remodel
Change of use
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Building Inirmation I
Dwelling units
Occupant load
Building height
Second floor
Stones
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Building dimensions
total square footage
Req'd part- ng
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system I Critical Matenal
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Square footage breakdown
Main Boor
Uncovered /covered deck
Second floor
Other
Finished basement
Unfinished basement
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Garage
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Contractor Information
Heatin, and insulation information R -values
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Budding contractor
Plumbing contractor
License number
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License number
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Math address
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City,sute zip
Heatin contractor
Other/Lender
License number
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Licence number
Phone
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'Wailing address
City, state, zip
City, state. zip
PROJECT CONTACT
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Spokane County Division of Buildings
1n9r, Wn¢t Rro tdwav Ave * Spokane, Wa 99260 * (509) 456-3675