1992, 02-26 Permit App: 92001084 ReroofSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: _Q//� -3 (/ 0/ 2)
STREET ADDRESS: il3`//o2 Tf5z)fp-D
CITY/STATE/ZIP: SpI5X2Pi✓& 7 9 2/ 2 -
SUBDIVISION: 3-S%. 2
BLOCK: 6-3 LOT: ZONE: d/40.3- 3 DISTRICT: 4
LOT AREA: F/A: WIDTH: 7S DEPTH: v_<3 R/W:
# OF BUILDINGS:
OWNER:
# OF DWELLINGS: WATER DISTRICT:
C L EvILG,»(2 .q 2 c›,v /L_) Ail e s PHONE:
- 92g3
MAILING ADDRESS: /17,Y/�
CITY/STATE/ZIP: 3,z2z)y-1,,.9. J'4F--
CONTACT: PHONE: —
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ONO
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
.1M1 ONO
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:
Rat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area %:
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: