1991, 08-27 Permit App: 91005348 Reroof Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: J (O5 4 2 l 569—
STREET ADDRESS: I V \S I �-- W � wa.i`(")
CITY/STATE/ZIP: � ' 4�f' _ LOA cictgR,
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: , # OF DWELLINGS: WATER DISTRICT:
OWNER: ALV► IkII u.3 \.p PHONE: - -
MAILING ADDRESS: r Y t s�() (). �
CITY/STATE/ZIP: Sp W t col to
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: >kC Lo 41k Jb f ( 3
CONTRACTOR: VJO PHONE: - t/ge{ - Ocet 7
MAILING ADDRESS: E
ARCHITECT/ENGINEER: ALA . PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: 11,4- X Li() (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: