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1993, 03-19 Permit App: 93001652 Reroof Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 INFORMATIIONN WORKSHEET PARCEL NUMBER: STREET ADDRESS: //2 y/9 /% CITY/STATE/ZIP: (;-:'G/CCe1/c- (/An SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: OF BUILDINGS: / I OF DWELLINGS: WATER DISTRICT: OWNER: 7(2DOCS PHONE: - %)y - MAILING ADDRESS: /-5V( 71// CITY/STATE/ZIP: 4:9,9/ 2/ ----- G752c4,-)‘ CONTACT: A/72,77(1 �?� A //;/ / PHONE: ;5677 - � - / / SETBACKS: - FRONT: LEFT: RIGHT: REAR: • PERMIT USE: L ©C) ********************************************************** **** *'** **** *** BUILDING INFORMATION 4e43 U 1 CONTRACTOR LICENSE NUMBER: p& , C' � /7 / /' J CONTRACTOR: 1/ Cv PHONE: c-7 - - o �; MAILING ADDRESS: ,4JU' /r'`�- /cd,_-- 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: 4R. r PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE: SPACE HEATING TYPE (Check One) FORCED AIR ELECTRIC ELECTRIC BASEBOARD OR WALL MOUNT FORCED AIR GAS HEAT PUMP PROPANE OTHER: FLAT CEILINGS R DOORS U. VAULTED CEILINGS R WINDOWS U ABOVE GRADE WALLS R GLAZING AREA BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE: FLOOR R 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