1992, 03-11 Permit App: 92001454 Reroof Spokoe County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: ii-
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STREET ADDRESS: E 14110 � //`i
CITY/STATE/ZIP: tkro Aa`e- 1 r/b 3'7
SUBDIVISION: e, P;-r9 )10_ 09_ 4
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: I WATER DISTRICT: (/.era
OWNER: Ear l /D L/�J, JP, ibeW( EA7 PHONE: c5c ? - 0a a - y 79
MAILING ADDRESS: /400 /11 '741
CITY/STATE/ZIP: Leri 4. k 996137
CONTACT: 5L' /V—) PHONE: - -
SETBACKS: - FRONT: LEFT: ` RIGHT: REAR:
PERMIT USE: `LD P" or Iyyu3 rodT"
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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 Cody 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: