1992, 07-29 Permit App: 92005882 RemodelSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA • 99260 (509) 4564675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: d • c-R.C4/
CITY/STATE/ZIP:
-)d 4_)1} N.991:9-06
SUBDIVISION: 'jfl�_J
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
1 OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT:
OWNER:/Yjikf ..t-K,rie- 1jj47r2,eF,J
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: K ate iJ cy/‹. 14114-2,‘) PHONE:
SETBACKS: - FRONT: vV LEFT: RIGHT: REAR:
PERMIT USE:
•**********************************************************************c******
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
PHONE:
ac=i 13t -ns.
S - 9;<r (voa7
1J14.- 793DL#
CONTRACTOR: PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE:
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS:
REQUIRED PARKING:
X (WIDTH X DEPTH) SQ. FT.:
B HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
•
Please provide the following information for Energy Code cpmpliance:
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
Other:
Heat pump
Doors U
Windows U
Glazing area `h*
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: