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1992, 05-05 Permit App: 92003110 Finish Basement
Spokane County DEPARTMENT' Of BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: ©40.16 os.- &/L/4,€ Ie00 CITY/STATE/ZIP: V f4.(Dp L F 99037 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: b/,ve /9. 'E' 0&77-1 416deE PHONE: $259 - 9a/ - 9re'/ MAILING ADDRESS: .Q6 /cs�d4jll CITY/STATE/ZIP: .6 AGE WA ffo37 CONTACT: :13e7,70 �l4I 4r %L PHONE: 32549 - - 9f8) SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: *,************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: Please provide the following information for Energy Code compiince: t Space heating type (check one) Forced air electric Forced air gas Flat ceilings R Vaulted ceilings R Above grade walls R Below grade walls R Floor R Slab on grade R Electric baseboard or wall mount Propane Heat pump Other: Doors U Windows U Glazing area 0/0: Total floor area of heated space Furnace efficiency rating Please indicate on your plans: The location of the radon vent, and the location of the vent fan area. Square footage Main floor: Second floor: Basement - Finished: Unfinished: Garage: Carport: Decks: Additional Areas: LENDER/BOND HOLDER: ADDRESS: CONTACT: PHONE: