1992, 06-09 Permit App: 92004171 DeckSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 7303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET S�
PARCEL NUMBER:
STREET ADDRESS: j
CITY/STATE/ZIP:
SUBDIVISION: -n C) j, /Q /l -_.11,A/ 5/1E
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BLOCK:_ LOT:_ ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: OF DWELLINGS:
OWNER: 2),,!ZZ2 � /V
MAILING ADDRESS:
CITY/STATE/ZIP:_
CONTACT:
SETBACKS: - FRONT:
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RIGHT:
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CONTRACTOR LICENSE NUMBER:
CONTRACTOR: X)OeOu) ��J /¢C'�i'jL j ���� n� PHONE: S3 -
MAILING ADDRESS:
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ARCHITECT/ENGINEER: PHONE: - -
MAILING ADDRESS:
NEW: REMODEL: v ADDITION: CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES:
BUILDING DIMENSIONS: X /L (WIDTH X DEPTH) SQ. FT.:
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REQUIRED PARKING: # HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
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Please provide the following information for Energy Code compliance:
Space heating type (check one)
baseboard or wall mount Propane
Forced air electric
_Electric
Other:_
Forced air gas
_Neat pump
Flat callings R
Doors U
Vaultod callings R
Windows U
Above grade walls R
Glazing ares
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/BONO HOLDER:
ADDRESS:
CONTACT: PHONE:
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CONTRACTING SERVICE, INC.
6.6003 SHARP • P.O. 806 3960
SPOKANE, WA 99220
(509) 534-5959
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SHEET NO
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CHECKED BY
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