1993, 12-12 Permit App: 93010406 Re-Roof APPLICATION WORKSHEET 16 D-'I
General Information I
x/ Job address /` Parcel number D-1 LI
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Phone i
Owner
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Mailings dress
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City State Zip
Site Information i
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Legal Descnption
Property size Waterlistnct Number ot: Dwellings Buildings
Tilt :Ro*dwidth
Zone p�or
Project Information li
Permit Use ,r`�..ikvAi'' n o New Addition Remodel Change ofuse
3.119i
Building Infoormation
Dwelling units Occupant load Building height Stones
Building dimensions total square tootage Req'd parking Handicap parking Sprinkler system Critical Material
1
11
Squarfoorootage breakdownwn
Heating and insulation information (R—values)
am felUncovered/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 etliicency
Garage total window area %of floor area
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Contractor Information` '' .? --�
/ Building contactor Plumbing contractor 1
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License number / Phone License number Phone
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Mailing address Mailing address
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City.
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Heating contractor Other/Lender
License number Phone License number Phone
Mailing address Mailing address
City,state,zip City,state,zip
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PROJECT CONTACT f. 4. ...)_n PHONE
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675
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SEATTLE 12/01/86 CI
SPOKANE 02/17/83 AD
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05/10/92 C1
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04/02/85 CJ CS
04/01/93 01
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01/18/30 01
06/01/90 01 SEYENC1093J6
06/30/84 01
01/30/85 01
04/10/87 01 CHILDCt23100 CHIL88C133JG
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09/03/93 01
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