1992, 03-13 Permit App: 92001511 Residence Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS:
CITY/STATE/ZIP: \ c, c�a.�- (.44.4 , 9,2/z-
SUBDIVISION: 4 '6�I
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: /Cvc C IAA//ct - PHONE: cop - 4-2-6 - -y2_7
MAILING ADDRESS: S. /PO4 A d„
CITY/STATE/ZIP: S ,(a . ,�j r P91-1€
CONTACT: Er x,":71 rSvh PHONE: - 9 z-z - 3i s-o
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SETBACKS: - FRONT: 3 Q' LEFT: RIGHT: /0 REAR:
PERMIT USE:
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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 Eneigy Code compliance:
Space heating type (check one)
Forced air electric Electric baseboard or wall mount Propane
V Forced air gas Heat pump Other:
Flat ceilings R Doors U 0.60
Vaulted ceilings R 3 o Windows U 0.74>
Above grade walls R /9 Glazing area %:
Below grade walls R i 9 Total floor area
Floor R — of heated space Z(a'
Slab on grade R -- Furnace efficiency rating -f-'
Please indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
Main floor: i r.360
Second floor:
Basement- Finished:
Unfinished: 15,---L-/
Garage: (-
Carport:
Decks:
Additional Areas:
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F--31 " ,1 c)�e -\
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gejc C WA l 4,.r-
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