1991, 09-16 Permit App 91005802 Remodel GarageMAILING ADDRESS:
Jr 6x/-
Spokane County
DEPARTMENT OF BUILDING & SAFETY
West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675
PARCEL NUMBER:
STREET ADDRESS:
INFORMATION WORKSHEET
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CITY/STATE/ZIP: C3\MCDCjY t qG ` b
SUBDIVISION:
BLOCK: LOT: ZONE: DISTRICT:
LOT AREA: F/A: WIDTH: DEPTH: R/W:
# OF BUILDINGS: l # OF DWELLINGS: WATER DISTRICT:
OWNER: k `\e_ C. 1 *\Q C'' PHONE: -qaZ- U1131
CPC
CITY/STATE/ZIP: S�--)Y.,(,v(1
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CONTACT: r• �s ` 1 l AV `e,
PHONE:
SETBACKS: - FRONT: LEFT: RIGHT: REAR:
PERMIT USE: VJTIod (1,417- 9r7 - _
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BUILDING INFORMATION
CONTRACTOR LICENSE NUMBER:
CONTRACTOR:
MAILING ADDRESS:
PHONE:
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 X.
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 %:__
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:
Spokane County
APPROVED AS NOTED:
BUIL ING AN SAFETY DATE
BY V
PLANNI
BY .1
DATE
ENGIN
DATE �' 13
ENVIRONMENTAL- HEALTH • ATE
BY
UTILITItb DATE
BY
OTHER •
BY
DATE
NOTES:
14
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