1992, 12-15 Permit App: 92010981 Remodel Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: 13303 (Al i s
CITY/STATE/ZIP: S\)e-) ' - , UUd.
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: - F/A: WIDTH: DEPTH: R/W:
1 OF BUILDINGS: Wan2.
# OF DWELLINGS: WATER DISTRICT:
OWNER: , (( L _ Van Y1 PHONE: So°( - i a - p.9 -7
MAILING ADDRESS: £ ( 3343 &tC(
CITY/STATE/ZIP: Spa )1 r k , wd. VI a r l
CONTACT: 5: c . , (J gw›,Z2 k PHONE: ,-71 - 1 [F - ( 213 7
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: '}'\room to rrlPJ
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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: 1 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
FORCED AIR GAS HEAT PUMP
PROPANE OTHER:
FLAT CEILINGS R DOORS U
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
CONTACT PHONE