1991, 09-20 Permit App: 91006102 Remodel Spokann,County
DEPARTMENTOF BUILDING & SAFETY
West 1303 Broadway Av nue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER:
STREET ADDRESS: ,c/ 0 y /�(
CITY/STATE/ZIP: Sfib JG/9/'-/j. G✓GZ ,
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: ,Z ftryiz/ CIJ I f/ /�� - PHONE: - -
MAILING ADDRESS:
CITY/STATE/ZIP:
CONTACT: PHONE: — —
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: /607,4:- C r // 6,Q S
CONTRACTOR: Xir,/7/i'i- (4,0 w-flh -j, r• '/,<,PHONE: co Q - - ri0
MAILING ADDRESS: .C'70 r 71/e �-7674/6LT' 9/ z o7
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%%all r 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: