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1992, 07-17 Permit App: 92005418 ResidenceSpokane County • 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: *******************************************************1*,*********/******�*********** 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 - 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. ******************************************************************************* SQUARE FOOTAGE: MAIN FLOOR SECOND FLOOR BASEMENT - FINISHED UNFINISHED GARAGE CARPORT DECKS ADDITIONAL AREAS: /70B 7 6e, /190 g ****************************************************************************** LENDER/BOND HOLDER: ADDRESS 4 CONTACT PHONE has 33 l •