1993, 09-14 Permit App 93008366 Re-RoofAPPLICATION WORKSHEET
General Information
Job address / ,e
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Mailing address
Phone
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City PO E
State
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Site Information
Legal Description
Property size
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Project Information
Water Distnct
Permit Use
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Numberol: Dwellings Buildings
dLft kTlo
New
Addition
Remodel
Change of use
Building Information
Dwelling units
Occupant load
Building height
Stones
Building dimensions
Total square 'footage
Req d parking
Handicap parking
Sprinkler system I CnticalMatertal
Square footage breakdown t
Main Iloor
Uncovered / covered deck
Second Iloor
tither
Finished basement
UM -inn -bed basement
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Contractor Information II
Heating and insulation information (R—values) t
Heat source
Hat ceiling
Vaulted ceding
Above grade wall
Below grade wall
Floor
SI b on grade
Door (u—value)
Window
Furnace ettioency
total window area
% of floor area
Building contractor
Plumbtng contractor
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, sta tc, zip
Heating contractor
Other / Lender
License number
Phone
License number
Phone
Mailing address
Mailing address
City, state, zip
City, sta te, zip
PROJECT CONTACT
PHONE
1_
Spokane County Division of Buildings
1026 West Broadway Ave * Spokane, Wa 99260 * (509) 456-3675