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1992, 05-15 Permit App: 92003452 Reroof
M , Spokane County 1 . 11LD DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 /2 re-, INFORMATION WORKSHEET cJ (SS PARCEL NUMBER: -J,, /5/1 u oki IV s (7%=.1 e'1 2-0 d/745 (2•= � STREET ADDRESS: �;' �3 3 Z(,t) c-1e-& ( 7 17 CITY/STATE/ZIP: c- /26/649,'JE (max SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: /-7/Z //9--/D,0 PHONE: - - MAILING ADDRESS: c/�J D 'I ,�/(-)/( S/ CITY/STATE/ZIP: -/0Uf7() Lz4A 4-7C5/CP CONTACT: PHONE: - - SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: **************************************************************************** BUILDING INFORMATION CONTRACTOR LICENSE NUMBER: / - / 7-- ���/�! Qq©O CONTRACTOR: ("(,L)/ 740 ,-e/)i 7,t) PHONE: S 05-e-4-7 - 7,6( ) MAILING ADDRESS: ✓00 Igo k` f ,/ cG �� ARCHITECT/ENGINEER: PHONE: - - MAILING ADDRESS: NEW: REMODEL: ADDITION: L-----CHANGE OF USE: DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: BUILDING DIMENSIONS: X (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: • • LENDER/BOND HOLDER: ADDRESS: CONTACT: PHONE: