1993, 09-23 Permit App: 93008787 Reroof 5 b3I . looc‘
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APPLICATION WORKSHEET
General Information `
Job address/,'---
number
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Owner . J11
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Mailingaddress
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Site Information
Legal Descnption
Property size Water District Numberot: Dwellings Buildings
Zone .inspector: Koad W idth
Project Information lo
Ye it Use New Addition Remodel Change of use
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Building Information j
Dwelling units Occupant load Building height Stones
Building dimensions total square footage Req'd parking Handicap parking Sprinkler system Critical Material
Square footage breakdown Heating and insulation information (R—values)
am floor Uncovered/covered deck Heat source
Second floor Other Hat ceiling Vaulted ceiling Above grade wall
Finished basement Below grade wall Floor Slab on grade
Untinished basement Door(u—value) Window Furnace etticency
I otal window area %of floor area
Garage
Contractor Information
Build Eng coofnctoro..) n
Plumbing contractor ;
License number
Sl 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