1992, 03-09 Permit App: 92001357 Sewer Spokane Count � � - 1357
a
p nCounty 65f
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET 9 2 - v55 5 7
PARCEL NUMBER: 22 £A 1 " 90 G ` - 4
STREET ADDRESS: 1J/23 C• 6 771
CITY/STATE/ZIP: I-O KA-►JE W A 99 216
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: ,/
OWNER: RUSS 'k Lo i QC,A STE PHONE: 507 - /FZ`i' - (75S-
MAILING
g5SMAILING ADDRESS: /3123 E,
CITY/STATE/ZIP: MAOI MJt l ( JA q92,16
CONTACT: R-0 G Ea_ 40 O lJ t'12.,. PHONE: TM - 92.1 - l i S�j
SETBACKS: - FRONT: LEFT: ( RIGHT: REAR:
PERMIT USE: 3 �� coNMG ON
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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: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
Please provide the following information for Energy Code compliafice:
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: