1992, 03-13 Permit App: 92001521 Siding, Roofing Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: /, /��C.
STREET ADDRESS: 816 S6 Cu / c o...t,4.4
CITY/STATE/ZIP: rr ,• C/Li `ry 2,-i
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: PHONE: - -
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: 1L& L )
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BUILDING INFORMATI• ,� ��'L��1��1 �� �N
CONTRACTOR LICENSE NUMBER: A Z_ /'/el C I Z. 1 �" /z-*
CONTRACTOR: 13 GT 1)t 4147 (-00.^ °41,1 PHONE: - 44/4
MAILING ADDRESS: /14-474/ "F Z17 (;e-, r l-a.--'1 J
ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: )( ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: " ORIES: /
BUILDING DIMENSIONS: '�} X 21 (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:
Flat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area %:
Below grade walls R Total floor area
Floor R of heated 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: