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1994, 04-07 Permit App: 94002858 ReroofSpokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: / _ - Ve .‘ AC. el 6 -- STREET ADDRESS: jL , 111 b 1 s N cr,© v\ CITY/STATE/ZIP: S p©kQ,t e L,v A SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: 1 OF DWELLINGS: WATER DISTRICT: OWNER: Tayr- r� r r a r MAILING ADDRESS: CITY/STATE/ZIP:_ CONTACT: PHONE: - 4 214 - 3 g 3 d SETBACKS: - FRONT: PERMIT USE: 1"oo-r9 PHONE: RIGHT: REAR: lt 33 00.00 4•110 am. • ***************drat**it*it**********,i * *, ****, *, *****************iri *************** BUILDING INFORMATION coNTRA,CTOR' LICENSE NUMBER: - W T S -_.. 123 CONTRACTOR: L) /5.e , lV Po C PHONE: 92U.- 62$ MAILING ADDRESS : S . 2 1 g' . _ PCS vl v ci 5p o k o 4) A- ? q 2°6 ARCHITECT/ENGINEER PHONE: MAILING ADDRESS: NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENS)'ONS: X (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRTTTcAT.MATF'Rrnr.- PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE: SPACE HEATING TYPE (Check One) FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT FORCED AIR GAS HEAT PUMP PROPANE OTHER: FLAT CEILINGS R DOORS U. VAULTED CEILINGS R WINDOWS U ABOVE GRADE WALLS R GLAZING AREA % BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE: FLOOR R 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