1992, 06-22 Permit App 92004584 Demo ResidenceS,pokerie County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS:
CITY/STATE/ZIP:
SUBDIVISION:
/o/a/s'-
f)L10.--(2_
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: # OF DWELLINGS: WATER DISTRICT:
PHONE:
MAILING ADDRESS:
52'1-__V‘i-
CITY/STATE/ZIP: /l1n _ 64./4 d
CONTACT: PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: D.r,, /�6-l.:l SVA r O s N C_E / 'En ( C
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CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
BUILDING INFORMATION
PHONE:
ARCHITECT/ENGINEER:
MAILING ADDRESS:
NEW: REMODEL: ADDITION:
PHONE:
CHANGE OF USE:
DWELL UNITS: OCCUPANT LOAD: BUILDING_HGT: STORIES:
BUILDING DIMENSIONS: //
X (WIDT3F}, TH) SQ. FT.:
REQUIRED PARKING: it HANDICAP: SPRINKLER CRITICAL MATERIAL:
Lease provide the following information for Energy Code compliance:
pace heating typo (check one)
Forced air electric Electric baseboard or wall mount Propane
Forced air gas Heat pump Other:
Flat ceilings R Doors U
Vaulted ceilings R Windows U
Above grade walls R Glazing area 910:
Below grade walls R Total floor area
Floor R of heated space
Slab on grade R Furnace efficiency rating
lease indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
lain floor:
second floor:
lasement — Finished:
Unfinished:
3arage:
.arport:
]ecks:
Additional Areas:
LENDER/BOND HOLDER:
ADDRESS:
CONTACT: PHONE: