2000, 04-07 Permit App: 00002481 Additionl I
Alt
SPOKANE COUNTY
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address: U (/ S 6.4 // k C
S Cox C w4 '?2/&
Assessor's Tax Parcel Number(s):
Legal Description:
Project Description: /± pA
TYPE OF APPLICATION
Building Permit
❑ Grading
0 Manufactured Home Permit
0 Timber Harvest
0 Relocation
0 Change in Use
❑ Other
0 Conner Phone:
Fax
OWNER/APPLICANT INFORMATION
9 Owner.
,{� /Phhone. 57 C - .3Y3
004?,v t T// � ofL ` 7,Fax.
%Applicant: Phone-
--=L
no,_. Fax
SoMatgnVafeSS S' 0'j[..,4 —(
Mailing Address
State Zip
"o )</4 Zi/ C, Gv9 9 9-2 i
City, sure, zips
���///City,
0 Conner Phone:
Fax
this project/
0 Indicate who should be contacted regarding J '�
` 0 4 N a— j /7 G L= /
✓n
Mailing Address
City, Stare, Zip
ADDITIONAL INFORMATION
Ar'eiiihe're s[iaauie"s o iail:piopiiry?-=:I ;Yes `O}Ncf `-'.cif' � `- i
ry shodentihtoa iepl n " _ _ ,. Z
'I espulentt on sue lane2;� �..w." - 3-,w'�°`-<•�__-: _'v`^i:,
What is the current property size?
(square feet or acres) / 00 x /6-6 z
=Is'any;patt of thheipio-'peny.:widjin=250 fee[ of a shoreline? 1;;.'.: %� >.;V' ''.`°
nli es;ideniifyAn sueplany?(. 7'4,°fi:: -rti_:Yes.."=';=3Kfic Q st:^-^ i I*
What is the . gent use of this property?
/-
Is:gounjnoperfy iiigide#0-4 ed;v,ldlife'habitat_area?<3-'7t =_ >'>_r`ly%-; `-'.;
y`,�:'iila nO:Don't;knonr- - '-fO t&a:,: ,;iVo'�'
Will the site .e served by a septic system? 0 Yes )4 No
sIi"any;pah-rqf ilie property.�ivi[hiu a�f00.}•r floodplain?; ;:.''_i_ . ,-� ,.. �,;.
"""'''' Y
7fyes2ulentefy,onsueplan '• c ' .J - -:". '-';,tr;9
-' O Maybke „ ❑ Don t knon O Yes No'tt
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes No
Are there any wetlands streanis or ponds anhtn2t feet of'the.', ",'• r
;iproperty? ';':i.:' ;5'G" .: .,,,
• iaJ • i�. �
. yes; `identify on'sue plan 0 Yes" No .. .
If
Is there evidence of fill or excavation on the propert ?
0 Yes No
`Areilidire slopes7greaier than 30% on the property? (30 ft `rise in 100 ft) -
' (/ %).`r ,.. 0 Yes [X No.•
Are critical or hazardous materials used or stored on sue
0 Yes X No
Spo w . COUNT{
PROJECT APPLICATION - Detail Information
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Number:
Contractor -
Architect / Engineer
Contractor
Architect/Engineer
Phone
Fax
`
Phone
Fax
Mailing address
Mailing address
City, State Zip
City, State Zip
WA State Contractor license #
Contact name:
Building Information - i,,a '' '
C,� M ,'as £
•
Building height to ridge/ !
//
# of stories
What is the square footage of the sign
face?
Unfinished basement sq. h.
at t. `/
_40
Dimension's
07.g X 3,
/
Total habitable space
2nd floor sq. ft.
Finished basement sq. ft.
Construction group 1
Constr ction type
Garage sq. ft. .7 O
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc) O
Manufactured . Home - = •
•
Si 'ri:..tt.�',.
.cc��ppEE :: ; .-. _-;_ .- _ - :.J_r' =; :'
•:.._ _,Q. .rrgs a f. -. e^+ ... r .= .-
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
Relocation
Fire afety . kt .., `
S
' - ,:'•
Previous address
Paint booth
Fire Sprinkler
Tent
_
Fire Alarm
Fireworks display
Proposed use
Value
ADDRESS 504-5. �t_R►c
ZONE AJ2-• -
ROAD WIDTH
FRONT FLANKING
COMMENTS
REVIEWED_o,
This site par's ti&np, % --- tted ror the purpose of
obtaining a b;;.,ding pc. ,mit and is a true and correct
representation of the r,opcsal. All known property
boas/dimensions, curb lines. structures and easements
have been identified. Also indicated are wetlands,
bodies of water steep slopes o r aloe, ani.
Signed:
Date:
s-tp