1992, 12-08 Permit App 92010782 Residence, Heat PumpSPOKANE COUNTY DEPARTMENT Of BUILDINGS
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit/application, state that the information contained in it and submitted by me or my agent to compile said permit/application is true
and correct, and authorize Spokane County to proceed with processing. In addition, I have read and understand the INSPECTION REQUIREMENTS/NOTICE
provisions included herein and agree to comply with same. All provisions of laws and ordinances governing this type of work will be complied with whether specified
herein or not. I understand that the issuance of this permit/application and any subsequent inspection approvals or Certificates of Occupancy shall not be construed to
give authority to violate or cancel the provisions of any state or local law regulating construction, or as a warranty of conformance with the provisions of any state or local
laws regulating construction.
SIGNATURE OF
APPLICATION
OWNER OR AGENT DATE -
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Spokane County
DEPARTMENT OF BUILDINGS
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: /a(� s. rET 7:
CITY/STATE/ZIP:-5-5420,e,4/v /n/,0c7
SUBDIVISION:
BLOCK: LOT: IE) ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: /y /1GD PTH: R/W:
OF BUILDINGS:
1 OF DWELLINGS: WATER DISTRICT:
OWNER: L4,cICk// siG/(-.LDS
PHONE: Sr 9 - 9a/- !0 7//
MAILING ADDRESS: %( G 127V7677-e- 't
CITY/STATE/ZIP: S>e/l1j'1/ 44
CONTACT: .523 PHONE: - G7/ - la / //
SETBACKS: - FRONT: �S� LEFT: J RIGHT: /Q REAR: -
PERMIT USE: /v/c- 2 67%/.2—
BUILDING INFORMATION /
CONTRACTOR LICENSE NUMBER: Z..4/ , !� ) /6p c/(- 5
CONTRACTOR: ��J � ///L' 11,C5 PHONE: ?a7- 7//- /2---
MAILING ADDRESS: 9c/G Gam. �QY/,7(9'iril%�
ARCHITECT/ENGINEER: Y' fl& &// 57;41, PHONE: _/ Z- Ma-S/yyy
MAILING ADDRESS:'S6 i%,j%% / / /_5gjP/45 2)42, Z6277/%od� d ?. »772
NEW:
REMODEL: ADDITION: CHANGE OF USE:
DWELL UNITS: I OCCUPANT LOAD: BUILDING HGT: STORIES: /
BUILDING DIMENSIONS: (.;(1 x 7 5- (WIDTH X DEPTH) SQ. FT.: 9? 97
REQUIRED PARKING: / HANDICAP: SPRINKLERED: CRITICAL MATERIAL:
PLEASE PROVIDE THE FOLLOWING INFORMATION FOR ENERGY CODE COMPLIANCE:
SPACE HEATING TYPE (Check One)
FORCED AIR ELEL2RIC ELEL1RIC BASEBOARD OR WALL MOUNT
FORCED AIR GAS HEAT PUMP
PROPANE OTHER:
FLAT CEILINGS R ,5g DOORS u .(--/CJ
VAULTED CEILINGS R (3 Z6 WINDOWS U . CiD
ABOVE GRADE WALLS R / % GLAZING AREA Y-3 % K2_
BELOW GRADE WALLS R /7 TOTAL FLOOR AREA OF HEATED SPACE:
FLOOR R%
SLAB ON GRADE R FURNACE EFFICIENCY RATING g640
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 as 8 -
SECOND FLOOR
BASEMENT - FINISHED �7
UNFINISHED G,7p78 /
GARAGE
CARPORT
DECKS
ADDITIONAL AREAS:
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Co of 7;2:>A9 7`/D (CaY/c46 re)
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LENDER/BOND HOLDER:
ADDRESS
CONTACT
PHONE goo/- 4 )//