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1991, 08-16 Permit App: 91005083 ReroofSpokane County DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: N. 13c) ! /ow,O/S �f CITY/STATE/ZIP: ` Poico1e W4 "7Z66 r SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: Z # OF DWELLINGS: ! WATER DISTRICT: 1(100-erAi OWNER: Q, 4C)VL-/ MAILING ADDRESS: CITY/STATE/ZIP: CONTACT: S,4n e PHONE: 5()4" - 9,27 -0,304/ PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: �e— laovg {7 c sc �Xce�7 fav ********************************************************************** V'OD CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: BUILDING INFORMATION (.2osq ThTilf ) 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 compliance: Space heating type (check one) Forced air electric Forced air gas Electric baseboard or wall mount Heat pump Propane 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: