1991, 08-19 Permit App: 91005112 Finish Basement Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: /5/-6-5,47.7 "
STREET ADDRESS: E /5/5---g( rch,��V7
CITY/STATE/ZIP: s0() Wa/
SUBDIVISION: �` , a77f/
BLOCK: / LOT: .33 ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: / # OF DWELLINGS: WATER DISTRICT:
OWNER: &e Frk6 t (fin( PHONE: - 760 -
MAILING ADDRESS: /L/tr" ( (//9/4)P
CITY/STATE/ZIP: s,Od_ 4)
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: ,m29pr/f1�d c. £ V e-
CONTRACTOR: ,e IE/Oc.so 'S 662ni S i 60 . PHONE: cac - 53S-- 62 `67
MAILING ADDRESS: /32 g e. / ,S,20. tL4 c 1 2 o3
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS: f/3. �. /c - Spo. ?,( YS' z .5c-
NEW: REMODEL: 1 ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: Z-
BUILDING DIMENSIONS: '-/O X 361-4/ /f (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:
Flat 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: