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1992, 08-11 Permit App 92006326 ReRoof- Spokane County DEPARTMENT OF BUILDINGS West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PARCEL NUMBER: INFORMATION WORKSHEET STREET ADDRESS: 'Z s) � 7,A,24-•c CITY/STATE/ZIP: SUBDIVISION: BLOCK: LOT: ZONE: DISTRICT: LOT AREA: F/A: WIDTH: DEPTH: R/W: # OF BUILDINGS: q-7 y 177 / OF DWELLLINGS: WATER DISTRICT: OWNER: + . PA-c,c Li. f.cc-s` , S i. ( PHONE: 0 .-'rr,j : Cl x--; L 0oz,.__,_4,..,�- -� L t - L 1 ) MAILING ADDRESS. CITY/STATE/ZIP: �,�,� CONTACT : Cj tf PHONE: SETBACKS: - FRONT: LEFT: RIGHT: REAR: PERMIT USE: I�-ram / /ri_i -,sSZ ****************************************************************************** BUILDING INFORMATION ALP) C 088 MN CONTRACTOR LICENSE NUMBER: CONTRACTOR:k_i>1 c.)g PHONE: -zt(tB- MAILING ADDRESS : L Lk z.t t L,, , � COn ZZ 3 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 ELECTRIC BASEBOARD OR WALL MOUNT FORCED AIR GAS HEAT PUMP PROPANE OTHER: FLAT CEILINGS R DOORS U VAULTED CEILINGS R WINDOWS U ABOVE GRADE WALLS R GLAZING AREA % BELOW GRADE WALLS R TOTAL FLOOR AREA OF HEATED SPACE: FLOOR R 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: ****************************************************************************** LENDER/BOND HOLDER: ADDRESS CONTACT PHONE