1991, 10-09 Permit App: 91006682 Reroof Spokane County
DEPARIiVIENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: ) ,2r52r^ /2 3
STREET ADDRESS: Eo bi/ ) "— /1 -34
CITY/STATE/ZIP: , / ` L- 7 �/
SUBDIVISION: 4 e Q/����vl
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BLOCK: / LOT: 35 ZONE: DISTRICT:
LOT AREA:75)(ljV F/A: WIDTH: 7, DEPTH: 1/e9 R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:c=G(4- i/i
OWNER: /�>�'j/� ✓t%4& PHONE: - 7 7 7 773 Z
MAILING ADDRES : tEi /f15-
CITY/STATE/ZIP:
915CITY/STATE/ZIP: ,i ' / 7/%1t... 47"1,2,tr7'
CONTACT: PHONE: -
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: f/-623-Z)
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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 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: