2000, 04-06 Permit App: 00002419 Reroofti
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SPoKAR COUIyTY
PROJECT APPLICATION
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
• 509-477-3675
Project Description:
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TYPE OF APPLICATION
Building or Construction Permit
00���O��Timber Harvest
�Ither
O Grading
O Manufactured Ho Permit
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O Relocation
O Change in Use
3 SPECIFIC SITE INFORMATION
Street Address:
Assessor's Tax Parcel Number(s):
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Legal Description:
APPLICANT INFORMATION
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Applic.anr
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s any,part of the property within 250 feet of a shoreline?
ryes; ident f on site plan 0 Yes l' eNo
the
Phone:
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Fax:
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Phone: Fax:
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s any'part of the property within a 100 yr flood plain?
ryes, identify on site plan
0 Maybe 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 \Q/No
ire there any wetlands, streams or ponds within 200 feet of the
roperty?
ryes, identify on site nl.: •: 1 Y ; s 1Vto
Vailin Address:lv;ailing
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.re there slopes greater ;:. in 33% c•c :he 'eav?
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Address:
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�tty, tate, Zip
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City, State, Zai ^
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Contact/Agent: i
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Phone: Fax:
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MailAddress:
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:ity, Zip
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ADDITIONAL INFORMATION
re^ttierestructures on the property? Yes 0 No
ryes,.identify on site plan
What is the current property size?
(square feet or acres)
s any,part of the property within 250 feet of a shoreline?
ryes; ident f on site plan 0 Yes l' eNo
the
at is curre,his pro erty?
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s your property in a designated wildlife habitat area?.
. 0 Don't know 0 Yes . No
Will the site be served by a septic system? 0 Yes `9 No
s any'part of the property within a 100 yr flood plain?
ryes, identify on site plan
0 Maybe 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 \Q/No
ire there any wetlands, streams or ponds within 200 feet of the
roperty?
ryes, identify on site nl.: •: 1 Y ; s 1Vto
Is there evidence of fill or mining on the property?
El Yes No
.re there slopes greater ;:. in 33% c•c :he 'eav?
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SPOKANE Cou r\'
PROJECT APPLICATION - Detail Information
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
509-477-3675
Project Number:
Contractor.
/ Engineer
Cgueraerof
//�L�z_. `/e`Y"--l'L
hitect/Engineer
Phone
Fax
Phone
Fax
Mailing address
5.31z G,; (l; s C/--'
Mailing address
Cit , State Zip
ckC/?r /lig �- j' 2(-) E
City, State Zip
WA tate Contractor license N
Heat source (electric, gas, etc.)
4-s C-) e c.
Contact name:
Building Information
Building height to ridge
N of stories
Main floor sq. ft.
Unfinished basement sq. ft.
Dimensions
Total habitable space
2"d floor sq. ft.
Finished basemeut sq. ft.
Construction group
Construction type
Garage sq. ft.
Deck sq. ft.
Cost of project o —
� 0C3c) /
Heat source (electric, gas, etc.)
4-s C-) e c.
Manufactured
Width:
Length:
Year:
M
What is the square footage of the sign
face?
How high is the sign?
Relocation
Previous address
Proposed use
Fire Safety
Fire Sprinkler
Tent
Paint booth _ Fire Alarm Fireworks display
Value