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1992, 05-15 Permit App: 92003449 Reroof
Spokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 ARCEL NUMBER: STREET ADDRESS: CITY/STATE/ZIP: INFORMATION WORKSHEET /azo eZ 1)/le,// 79_2Adic SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: #F BUILDINGS; OWNER: (::////p MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: # OF DWELLINGS: ©-2. WATER DISTRICT: PHONE: -9J-rJ 22.7 id/ PHONE :© - - 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 US IMO DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: . STORIES: BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIA • Please provide the following information fol Energy Code compliance: K • Space heating type (check one) Forced air electric Electric baseboard or wall mount Propane Forced air gas Heat pump Other: Flat ceilings R Doors U Vaulted ceilings R Windows U Above grade walls R Glazing area 0/0: Below grade walls R Total floor area Floor R of heated space Slab on grade R 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: