1993, 05-21 Permit App: 93003862 Enlarge WindowsContractor Information
APPLICATION WORKSHEET
General Information `
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Owner
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Mailing ad ress
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City
Phone
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State
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Site Information
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Legal Uescnplion
Property size
Water Dutnct
Number
Dwellings
Project Information
Permit Use
New
Addition
Remodel
Change of use i
Conal square footage
Building Information
Dwelling units
Occupant load
Budding height
Stones �r
Budding dimensions
Conal square footage
Req'd parting
Handicap parking
Spnokler system
enftcal Material
7
total window area
Spare footage breakdown
Main Hoot
Uncovered /covered deck
Second floor
Other
Pushed basement
Floor
Unfinished basement
,
Garage
Furnace ellaeeocy
Heating and insulation information (R—values)
Heat source
Hat ceding
Vaulted ceiling
Above grade wall
Below grade wall
Floor
Slab on grade
Door (u—value)
Window
Furnace ellaeeocy
total window area
% of floor area
Building contactor
Plumbing contractor
I
License number
Phone
License number
Phone
Mailing address
Maihng address
City, ala tgzip
City, state. zip
Heating contractor
Other! Lender
License number
Phone
License number
Phone
Marling address
Mailing address
City, state, zip
City, stale. up
PROJECT CONTACT
PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675