1992, 05-04 Permit App: 92003046 Reroof GarageSpokane County -
DEPARTMENT OF BUILDING &SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET L�
PARCEL NUMBER: ` _ I I
(7?
STREET ADDRESS: S, 7 1 3 t 1 e. K i n r t) fl
CITY/STATE/ZIP: Sp p k n Q. V4 a 9 a I
SUBDIVISION: YtD 1 1 nCL.
BLOCK: 5 LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
# OF DWELLINGS: WATER DISTRICT:
OWNER: j4 A N Ci s d- , P c v\ e_ —1I'Z
MAILING ADDRESS: S. 913 NIC. K t n he A.
PHONE: S6 9 - .x'35' - 3
CITY/STATE/ZIP:Ji3A Ka YIP 1 \A/4 R q at4-O33S
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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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 compliarice:
Space heating type (check one)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas Heat pump Other:
Fiat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area 9�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: