HomeMy WebLinkAbout1992, 05-26 Permit App: 92003725 Sewer Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: /3Y/5
CITY/STATE/ZIP:_ 5 " ' A/E Q'9'Z,
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: / WATER DISTRICT:
OWNER:- /.4C,AE PHONE: 5-05P
MAILING ADDRESS: /3?/SE✓ /S
CITY/STATE/ZIP: Si°o.�.o A/F_ GVAA-4'/047-e>11 99 2/b
CONTACT: PHONE: 5'9 - 902r- / K
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: .1�v -7-4.4.Z. /+`�f/oo.�-�//� ?o it/E<4/ ScS-Lc1EQ' //4J
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: �as ,3-017
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 0/0:
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:
•
•
LENDER/BOND HOLDER:
ADDRESS:
CONTACT: PHONE: