1992, 08-13 Permit App 92006404 SidingSpokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 0,\a- ts),.ocf
PARCEL NUMBER:
INFORMATION WORKSHEET
STREET ADDRESS: 7614 E. Broadway
5152W
CITY/STATE/ZIP: Spokane, WA 99212
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS:
* OF DWELLINGS:
WATER DISTRICT:
W: 509 326-3800 OWNER: DUANE BROYLES PHONE:509 - 922 -6693home
MAILING ADDRESS: 7614 E. Broadway
CITY/STATE/ZIP:
Spokane, WA 99212
CONTACT: Dick Edwards PHONE:509 - 535 - 1566
SETBACKS: - FRONT:
LEFT: RIGHT: REAR:
PERMIT USE: RESIDE Permit Value:
:**************************************
r
Permit Fee: $100.08
** **** *** **********************
BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER: INLANRS283j4
CONTRACTOR: INLAND ROOFING & SUPPLY CO. PHONE:509 - 535 - 1566
MAILING ADDRESS:
E. 5528 Sprague Ave. Spokane, WA 99212
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:
lease provide the following information for Energy Ccde'i:ompliance:
>pace heating type (check one)
Forced air electric
Forced air gas
Flat ceiltncs R
Vaulted ceilings R
Above grade walls R__
Below grace walls .;
Floor R
Slab on grade R
Electric baseboard or wall mount
_Heat pump
Doors ()
Windows U
Glazing area
Total floor area
of heated space
Furnace efficiency rating
Propane
Other:
'lease indicate on your plans: The location of the radon vent, and the location of the vent fan area.
Square footage
lain floor:
econd floor:
asement - Finished:
Unfinished:
arage:
arport:
ecks:
dditional Areas: