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1992, 01-17 Permit App: 92000316 Remodel
Spokane County DEPARTMENT'OFBUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: AC�5. 2 - 0 3 a? • STREET ADDRESS: /_ - '77/3 S/yT9 CITY/STATE/ZIP: 545fO (,4 4'4'E A/,17, SUBDIVISION: 4/0(4 • BLOCK: aZ LOT: ? ZONE: ,,1 3 , s -DISTRICT: 0.2.72 LOT AREA: F/A: / WIDTH: fj, DEPTH://5- R/W: �> # OF BUILDINGS: OWNER: T/j►/J/--:: # OF DWELLINGS: WATER DISTRICT: /9. C©V MAILING ADDRESS: (- '% 7/3 S PHONE: - 907 - did y CITY/STATE/ZIP: L.516'0/1"-/52445 Gi)/9, CONTACT: PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: CONTRACTOR: MAILING ADDRESS: PHONE: ARCHITECT/ENGINEER: PHONE: MAILING ADDRESS: IMP NEW: REMODEL: ADDITION: CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: % (WIDTH X DEPTH) SQ. FT.: REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL: Pease provide the folicwing information for Enargy Code cornalianca: Space heating type (check one) -, _Forced air electric Electnc'baseboai d 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 tioor. Second floor: Basement - Finished: Unfinished: Garage: Carport: Decks: Additional Areas: