1992, 07-17 Permit App: 92005452 Garage Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
(STREET ADDRESS: /3.3 ,2 1 L- l t�
CITY/STATE/ZIP: 0 I(,4A714/19 f7.2 /1
SUBDIVISION:
BLOCK: LOT: ZONE:M� 3 DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W: 5T
/ OF BUILDDINGS: / OF DWELLINGS: WATER DISTRICT:
/ OWNER: % '!4 RI, J Ky/V 4S PHONE: „.. .V..- 7,2f- 5-772
MAILING ADDRESS: 4.9.-3,.2 /5 4
CITY/STATE/ZIP: _Sf® /(44/6 14 /,-,2/Z
(
1
CONTACT: PHONE: -_7z _577)
.
SETBACKS: - FRONT: _?P LEFT://f/et-//f/et- RIGHT: �j" REAR: 4//�/
RMIT USE: le/`L"t 2- tJ/!p - GA/'g�'P
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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
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.
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SQUARE FOOTAGE:
MAIN FLOOR
SECOND FLOOR
BASEMENT - FINISHED
UNFINISHED
GARAGE
CARPORT
DECKS
ADDITIONAL AREAS:
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LENDER/BOND HOLDER:
ADDRESS
CONTACT PHONE