1992, 06-16 Permit App 92004410 Re-Roof, Deck StairsSpokane County
DEPARTMENT OF BUILDING &SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
INFORMATION WORKSHEET
PARCEL NUMBER: 63 --
STREET ADDRESS:
CITY/STATE/ZIP: < 149' Pte 9 ?J
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
4 OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
OWNER: { Yam' c C� iZS �_ PHONE: o 9 - y, 2r - Cis
MAILING ADDRESS:
CITY/STATE/ZIP: L 5 �� `'`r/�/ l5 •Z/ a —
CONTACT: PHONE: — —
SETBACKS: — FRONT: LEFT: RIGHT: REAR:
PERMIT USE:
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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
Forced air gas
Flat ceilings R
Vaulted ceilings R
Above grade walls R
Below grade walls R
Floor R
Slab on grade R
Heat pump
Electric baseboard or wall mount Propane
Other:
Doors U
Windows U
Glazing area 9�n:
Total floor area
of heated space
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: