1992, 05-05 Permit App: 92003094 ReroofSpokane County
EPARTMENT OF BUILDING & SAFETY
1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: L. //2/L /WoA4
CITY/STATE/ZIP: ,A;20 // 9 ✓ ''¢' 9120('
SUBDIVISION:
BLOCK: LOT:_____ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: //1ff/ 117` 4-e'7
MAILING ADDRESS: //2/4
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PHONE:
ONO
CITY/STATE/ZIP: , :044; -✓e Zt/4• Q9.24 Co
CONTACT: PHONE: — .fin 5/,
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
oW <1
PERMIT USE:
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CONTRACTOR LICENSE NUMBER: J,' 2?.re r /Z-3 %L' �p2
BUILDING INFORMATION
CONTRACTOR: ,p;e. �D�✓S�!'.afl �:%
PHONE: - -
MAILING ADDRESS: /,/7/!v /404 �.Jj10/4.,-,:z` 4 SZ°,
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 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: