1992, 07-24 Permit App: 92005670 Reroof O -3
Spokane county
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----DEPARTMENT OF BUILDING & SAFETY ,c71 ��
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 (---__)04z
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�S�E� wd n U INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS : N. 4319 Verder UCS
CITY/STATE/ZIP: Spokane, WA 99216
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
Work Phone: 509 535-8718
OWNER: TUXFORD, TOM Home PHONE: 509 - 927 - 9608
MAILING ADDRESS: N. 4319 Verder
CITY/STATE/ZIP: Spokane, WA 99216
CONTACT: Dick Edwards PHONE: 509 - 535 - 1566
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: REROOF: PermitValue : $4,914 .00 Permit Fee : $89.46
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: INLANRS283j4
CONTRACTOR:Inland Roofing & Supply Co. PHONE: 509 - 535 - 1566
MAILING ADDRESS: 5528 E. Sprague Ave. Spokane, WA 99212
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:
'lease provide the following information for Energy Code compliance.
;pace heating type (check one)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas Heat pump :Other:
Flat ceilings F Doors
Vaulted ceilings R Windows U
Above grade walls F Glazing area
Below grade walls R Total floor area
Floor R of heated space
Slab on grade R Furnace efficiency rating
'lease indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor:
Second floor:
3asement - Finished:
Unfinished:
3arage:
:arport: .
)ecks:
+dditionaf Areas:
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•
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