2000, 04-05 Permit App: 00002354 Tear Off, ReroofIlk
SPOKANE COUNTY
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Description: � / —OPc. (CO ,a -it 5½94-S
25 /A ACS/. 57// 16
TYPE OF APPLICATION
p- Building or Construction Permit
O Grading
O Manufactured Home Permit
O Timber Harvest
O Relocation
O Change in Use
O Other
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
Legal Description:
APPLICANT INFORMATION
}'f- yr
Owner: 1I&A/D Q
!J
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Is any part of the property within 250 feet of a shoreline?
"hes, identify on site plan 0 Yes 0 No
Applicant: ,� I ^c A
r}'r
+
�7\J
Phone:
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
Fax:
Phone:,
zL/ /7(S9(77
Address:A) 6
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/ 53
Fax:
72 .5 -`9v5 2 -
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Mailing Address::Mailing
Mailing
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- /37/r
City, State, Zip
City, State, Zip
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Contact:
Authori} Contact/A ent:
C
Phone:
Fax:
Phone:
Fax:
Mailing Address:
Mailing Address: Sin
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City, State, Zip
City, State, Zip
ADDITIONAL INFORMATION
37
Are there structures on the property? 0 Yes 0 No
If yes, identify on site plan
What is the current property size?
(square feet or acres)
Is any part of the property within 250 feet of a shoreline?
"hes, identify on site plan 0 Yes 0 No
What is the current use of this property?
Is your property in a designated wildlife habitat area?
0 Don't know 0 Yes 0 No
Will the site be served by a septic system? 0 Yes 0 No
Is any part of the property within a 100 yr flood plain?
If yes, identify on site plan
0 Maybe 0 Don't know 0 Yes 0 No
Are or will there be wells located on the property?
If yes, identify on the site plan 0 Yes 0 No
Are there any wetlands, streams or ponds within 200 feet of the
property?
If yes, identify on site plan 0 Yes 0 No
Is there evidence of fill or mining on the property?
0 Yes 0 No
Are there slopes greater than 30% on the property?
c ..------ 0/0 0 Yes 0 No
10c I
SPOKANE COUNTY
PROJECT APPLICATION - Detail Information
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Number:
Building height to ridge
Contractor r2 yyicti'h 57"r�C'��j/�-1,G
Architect / Engineer
Contractor
Architect/Engineer
Phone
2 1
Fax,,
Fax
,s
Construction group
Fax
Mailing address l 95 u
Deck sq. ft.
Mailing address
/
City, State Zip /1 46/4
1�
City, State Zip
WA State Contractor license #
//nc cove) QT J )
Contact name:
Building Information
Building height to ridge
# of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2' floor sq. ft.
Finished basement sq. ft.
Construction group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project
Heat source (electric, gas, etc.)
Manufactured Home
Sign
Width:
Length:
What is the square footage of the sign
face?
How high is the sign?
Year:
Make:
Relocation
Fire Safety
Previous address
Paint booth
Fire Sprinkler
Tent
Fire Alarm
Fireworks display
Proposed use
Value