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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 /J 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 �/ / 53 Fax: 72 .5 -`9v5 2 - D tA Mailing Address::Mailing Mailing l 5 �� � - /37/r City, State, Zip City, State, Zip rt �� _ ^ -MIa Veva d4 -"C * Contact: Authori} Contact/A ent: C Phone: Fax: Phone: Fax: Mailing Address: Mailing Address: Sin A < 11, } e 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