1994, 03-30 Permit App: 94002590 Remodel•
APPLICATION WORKSHEET
General Information
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Owner - I
Parcel number
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Phone 53 _3
"1 Lading addreu
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Site Information
Legal Descnpt ion
rProperty size
Water District
Number or:
Dwellings Buildings
Inspector'
Road width
Project Information
1
Permit Use
6.9J e A4Piv/ /
Building Information `
New
Addition
Remodel
Change of use
1 Dwelling units
Occupant load
Suilding height
Stones
Building dimensions
Total square footage
Regdparking
Handicap parking
Sprinkler system
CnticalMatenal
Square footage breakdown
(am floor
1
Uncovered /covered deck
Second Iloor
Other
Finished basement
oor
Unfinished basement
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(range
1 -
urnace e icency
Contractor
Contractor Information
Healin and insulation information R—values
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atceiing
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City. state, zip
Budding contractor
Plumbing contractor
License number
Phone
License number
Phone
Hailing address
Mailing address
City. state, zip
City, state, zip
l Icating contractor
Other / Lender
License number
Phone
License number
Phone
1-111a ding 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
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