1992, 07-17 Permit App: 92005418 ResidenceSpokane County
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DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: 73 3
CITY/STATE/ZIP: //27-X % l! P% 7 7
SUBDIVISION: J'/K1 7C�'f' ,47T A ; -€z /tee
BLOCK: / LOT: 7 ZONE: DISTRICT:
LOT AREA: 64%, F/A: WIDTH: �� Cy DEPTH: /Zp ' R/W:
1 OF BUILDINGS:/ # OF DWELLINGS:/ WATER DISTRICT:
OWNER: / y e- - O (. //ex.
MAILING ADDRESS:
CITY/STATE/ZIP:GaLL�-
CONTACT:
PHONE:
SETBACKS: - FRONT: Z.S LEFT: S RIGHT: J REAR: AO
/• V
PHONE:
— 222— U76)z
PERMIT USE:
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MV'
BUILDING INFORMATION E✓F -?< /� 6?
CONTRACTOR LICENSE NUMBER: /�fj''f c 7,2 — %1C
CONTRACTOR: /4%/(S /�/�I ' y1 PHONE: - -
MAILING ADDRESS:
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: ( REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: / OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT.:
REQUIRED PARKING: ,f` 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
FORCED AIR GAS HEAT PUMP
PROPANE OTHER:
FLAT CEILINGS R ',f DOORS U , 2
VAULTED CEILINGS R -O WINDOWS U ./C
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ABOVE GRADE WALLS R / % GLAZING AREA 3e) $ /2-----4
BELOW GRADE WALLS R /f TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R 3 7 Sc
SLAB ON GRADE R ,--- FURNACE EFFICIENCY RATING S07 14 -
PLEASE
PLEASE INDICATE ON YOUR PLANS:
The location of the radon vent, and the location of the vent fan area.
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SQUARE FOOTAGE:
MAIN FLOOR
SECOND FLOOR
BASEMENT - FINISHED
UNFINISHED
GARAGE
CARPORT
DECKS
ADDITIONAL AREAS:
/70B
7 6e,
/190
g
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LENDER/BOND HOLDER:
ADDRESS
4
CONTACT PHONE
has
33
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