1992, 08-24 Permit App: 92006764 ResidenceSPOKANE COUNTY IAPAR1ENT OF BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(809)456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
PROJECT
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WA 99206
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Spokane County •
DEPARTMENT OF BUILDING &SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 45 3 7
INFORMATION WORKSHEET
PARCEL NUMBER: uNEK ), �c
TREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER:
# OF DWELLINGS: \ WATER DISTRICT : c7x__
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
PHONE:
PHONE: -� �� —
SETBACKS: - FRONT: LEFT: i., RIGHT: 3CD REAR:
PERMIT USE:
* ***** ***, *******, *******************, ** *****************************i
BUILDING INFORMATION
PHONE:
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
INNS
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
# HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Please provide the following information for Energy Code compliance
Space heating type (check one)
Forced air electric
Forced air gas
Flat ceilings R 3\
:Vaulted ceilings R J`t
r� Above grade walls R \O.
:w Below grade walls R \°\
Floor R 3v
Slab on grade R —
Electric baseboard or wall mount
Hoat pump
Doors U .\\
Windows U '74,
Glazing area
Total floor area
of heated space \u'S
Furnace efficiency rating ‘`1
Propane
Other:
%: 11
lease indicate on your plans: The location of the radon vent, and the location of the vent fan area.
uare footage
Second floor:
Basement — Finished:
Garage:
Unfinished: N\sc
;`Carport:
Decks:
Additional Areas:
LENDER/BOND HOLDER:
ADDRESS:
PHONE:
Building
PiankinT
Engineers
Health
Utilities
Other
0
b
ADDRESS: Ell, / 1 ( a
ZONE: (.r! -R - , €J
ROAD r D11 !:
F ^^ T: 3 FltAi r(lNG.
CCIMM t :: P
EDB ' `�
E F SE{gF SYS; LSPECIF TIONS
TREARE FDfTj .
A�.
DEPTH FROM
OF SEIr ACESf»-
YS7 �.,
OTHER,
-YOU CA 1 ' C SYSTEM ACCORDING
TO THIS APPROVE PLAN, YOU MUST CALL THE OFFICE
<_;' a °INSTALLATION,