1992, 05-13 Permit App: 92003378 ReroofSpokane -County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
079633 -- 0 V&3
STREET ADDRESS: E ‘32/ �7 7
CITY/STATE/ZIP: 5p0. 2 J t.
SUBDIVISION: �1 .,S�.fi'A
BLOCK: a LOT: /J ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGB:_ WATER DISTRICT:
OWNER:
A1, c 1 /
(7 0053 is PHONE: SO, -S 3S- 67Y0
MAILING ADDRESS: 63.2-1 9TJ7
CITY/STATE/ZIP: S,✓O' /n/a 9 9L/ Z
C
CONTACT: /17t -eJ (E /13osS,D PHONE: 309 - `722- E'7y2
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
iter c'e
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:_ 4 HANDICAP:_ SPRINKLERED:_ CRITICAL MATERIAL:_
Please provide the following Information for Energy Code compliancg:
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 Wo•
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:
LENDER/BOND HOLDER:
ADDRESS:
CONTACT:
PHONE: