1992, 02-11 Permit App: 92000744 Remodel Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: r 3 >�
STREET ADDRESS: 6,5"-cc; 6Sa 5/ i rnf
CITY/STATE/ZIP: Sp4 //Jp-
SUBDIVISION: (• 'i4///4ce /� ,'cJ
BLOCK: / LOT: 9" ZONE: 9 DISTRICT: £
LOT AREA: F/A: WIDTH: // r DEPTH: f ' R/W: -6
# OF BUILDINGS:: # OF DWELLINGS: WATER DISTRICT:
OWNER: C�/ OChila ✓h S Cr \._ PHONE: - -
MAILING ADDRESS
CITY/STATE/ZIP:
CONTACT: PHONE: - -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: //,_S (1E-5 -c_ / 6 c
CONTRACTOR: U`eS al-942 () PHONE: S6 e___ ` '14
MAILING ADDRESS: Pt) /11/.2-44 (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 %:
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: