1993, 09-20 Permit App: 93008540 Reroof APPLICATION WORKSHEET 9 €3540
General Information ` 73 U
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Site Information
Legal Description
Property size Water Distnct Number of: Dwellings —B—adings
`Lone Inspector' ROadwidth
Project Information ` -3-'-. KZ-
Pepnrt Use l ___ 0 j
0 ,t to New Addition Remodel Change of use 1
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Building Information
Dwelling units Occupant load Building height Stories
Building dimensions 'Total square rootage Req'd parking Handicap parking Sprinkler system Critical Material
Heating and insulation information (R—values)
SSaqinte
Mam tlaoforotaxe breakdown Uncovered/covered deck Heat source
Second floor Other Hat ceiling Vaulted ceiling Above grade wall
Finished basement Below grade wall Floor Slab on grade
Unfinished basement Door(u—value) Window Furnace efficency
Total window area %01 floor area
Garage
Contractor Information`
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,state,zip City,state,zip
PROJECT CONTACT PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675