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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 ****************************************************************************** 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. ******************************************************************************* SQUARE FOOTAGE: MAIN FLOOR SECOND FLOOR BASEMENT - FINISHED UNFINISHED GARAGE CARPORT DECKS ADDITIONAL AREAS: • ****************************************************************************** LENDER/BOND HOLDER: ADDRESS CONTACT PHONE