1992, 05-08 Permit App: 92003245 Sewer (20s4 - ossa L
llNt e-fLsLT P
L ,a g 5 Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: 0/42,I I
CITY/STATE/ZIP: S/AKAA) (AA (962o4
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: ).L Q*4&2 sols PHONE: Tl?"7 — 9 — 2 b 6 0
MAILING ADDRESS: & 101.1/ 9
CITY/STATE/ZIP: S`'ok4t /L idth4 . 3' ?2OG
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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w _) ; , BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: DD.( zr aS
17/67
CONTRACTOR: D 4- 0 co/yr-Mc-MX'' PHONE: — ?„9.2 — ?' �
MAILING ADDRESS: f /A° P 0. ,sok g
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 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 0y0:
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: