1991, 12-06 Permit App: 91008443 RemodelSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS:440V,
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CITY/STATE/ZIP: /f ,W/y
S UBDIVI S ION : /a/leA/1/7
BLOCK: 7 LOT: // ZONE: DISTRICT:
LOT AREA: F/A: WIDTH:/ S' / DEPTH:��S / R/W:
OF BUILDINGS:
OWNER:
/ # OF DWELLINGS: / WATER DISTRICT:
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MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: /4, f 1, 0
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PHONE: ,Svf - /a7./ -
PHONE: SJ9 - - 5/D/
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: d/Z4Z d"
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BUILDING INFORMATION
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CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Please provide the following information for Energy Code compliance:
Space heating type (check one)
Forced air electric
Forced air gas
Electric baseboard or wall mount
Heat pump
Propane
Other:
Flat ceilings R Doors
Vaulted ceilings R _ __. Windows U___
Above grade walls RGlazing area °y,„
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: