1993, 11-01 Permit App: 93010558 Reroof, Siding, Soffit, Fascia -3.. I 65$7.
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Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: S 3 62 tie r c. e t^ .S py,k Lt:A 9 r Zc>(n
CITY/STATE/ZIP:
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: . F/A: WIDTH: DEPTH: R/W:
I OF BUILDINGS: I OF DWELLINGS: WATER DISTRICT:
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OWNER: 4 ca►,LA +C (11-1 S V t c e PHONE: -51 - 1 - /(8 Z
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: C &\ i I QFC S PHONE: --Sec? — — " 1.¶ 7
SETBACKS: - FRONT: LEFT: RIGHT: REAR: •
PERMIT USE: fl
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR: 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: I HANDICAP: SPRINKLERED_ CrrmTCWI. MMrvtTRT
r
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 DOORS Q.
VAULTED CEILINGS R WINDOWS U
ABOVE GRADE WALLS R GLAZING AREA
BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R
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.
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SQUARE FOOTAGE:
MAIN FLOOR
SECOND FLOOR
BASEMENT - FINISHED
UNFINISHED
GARAGE
CARPORT
DECKS
ADDITIONAL AREAS:
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LENDER/BOND HOLDER: .
ADDRESS '