1993, 10-15 Permit App: 93009909 Reroof pqi• ° D - q
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APPLICATION WORKSHEET
General Information `
Job address Parcel number
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Phone
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Site Informationil
Legal Descnption
Property size Water District Number of: Dwellings Buildings
:�Zode `Inspector>;� -`�: Road Width
Project Information I , a_
X Permit Use � �I�l `� 1 New Addition Remodel Change of use 1
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Building Information
Dwelling units Occupant load Building height Stones
Building dimensions Total square footage Req'd parking Handicap parking Sprinkler system Critical Material
SaHeating and insulation information (R—values)
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a m int!lootfootage breakdown Uncovered/covered deck Heat source
Second Boor Other Hat ceiling Vaulted ceiling Above grade wall
Finished basement Below grade wall Floor Slab on grade
Unfinished basement Door(u—value) Window Furnace effiicency
total window area %of 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
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Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675