1991, 08-28 Permit App: 91005376 DemolitionSpokane County4-5811,5114015&37
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: /j
STREET ADDRESS: L YY CG t l p cf 23 4 dtow7/ EgrUt
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CITY/STATE/ZIP: /(
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
OWNER:
# OF DWELLINGS: WATER DISTRICT:
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT:
PHONE:
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
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PERMIT USE: aYIMd I11(`Q til. h1Olacs
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
BUILDING INFORMATION
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MAILING ADDRESS: ,E 7 9/7 `}c uu N / N
PHONE:- 9,2 -CF-- Z' 7.3/
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ARCHITECT/ENGINEER:
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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 Electric baseboard or wall mount Propane
Forced air gas Heat pump Other:
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Flat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area %:
Below 94ade walls R c Total floor area
Floor' R of hbated`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: