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1992, 04-24 Permit App: 92002836 ReroofSpokane County' - DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: /47/ -5- /Of /i/g/i2 ✓ /7 �J �j Gj9� CITY/STATE/ZIP: r5�`�/� iAJ 0.)// / ///� 1 SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: // ,,%/ ;t/ 1//t9.4 '//PJ PHONE: MAILING ADDRESS: /97V4 r CITY/STATE/ZIP: CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: /s4i,J gio *+kir**#iririk******************************** k***Ait***************************** 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 compliance: - Space heating type (check one) Forced air electric Forced air gas Flat ceilings R Vaulted ceilings R Above grade walls R Below grade walls R Floor R Slab on grade R Electric baseboard or wall mount Propane Heat pump Other: Doors U Windows U Glazing area 0/0: Total floor area of heated space 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: