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1996, 08-02 Permit App: 96006153 Tear Off, Reroof 0\ 4, Ce (53 Spokane County y DEPARTMENT OF BUILDING & SAFETY West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATION WORKSHEET PARCEL NUMBER: �y f�G STREET ADDRESS: . 10(.400 1 "! CITY/STATE/ZIP: pk-ctite 61qQCXa SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT: OWNER: Tu1 W1/1. L.`S ela,de PHONE: - SW- SjSk MAILING ADDRESS: 1 - 11c, k) 101-k l`OL.( i CITY/STATE/ZIP: Vtkr‘ _otj j4,y tJGL 1 g LJ S CONTACT: ---FICJIC SI rYVY1:e--- PHONE: - E8(/-43-7.:1- SETBACKS: 8(/-4JSETBACKS: - FRONT: LEFT: RIGHT: REAR: r PERMIT USE: - Q_XCX)4 � ' /V• � ****, **************, ***********************************************,k******** BUII[LDDIING INFORMATION QCONTRACTOR LICENSE NUMBER: �1'�� j_tt CY /` CONTRACTOR: LL.I ttntt �( th PHONE: ? -S 7 - C»7,3_ MAILING ADDRESS: e. a IllSh-kUYLY ke C aL (DOca 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 Coicompliance: •Space heating type (check one) Forced air electric Electric baseboard or wall mount Propane Forced air gas Heat pump Other: 4rw: Flat ceilings R Doors U Vaulted ceilings R Windows U Above grade walls R Glazing area 9/0: 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 gent, 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: