2002, 07-22 Permit App: 02006140 DemolitionSPoKANT Gown'
PROJECT' APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT
1026 WEST BROADWAY ;\VENUE
SPOKANE, WA 99260
509-477-3675
SPECIFIC SITE INFORMATION
Street Address:
6o8 M 6 /f/ t4 X /4!
Assessor's Tax Parcel Numbcr(s): >ft- j / �y / /9 � s'S ��f � /A05
Legal Description: G'e4•6✓it ,oda_ h Giew-t 8 ' O 7e X
f( f, // 2,7'- _7 s- 8 io s 1 Y
Z. a+
fee s �3- ,�� o
Project Description:
OPS D
/6K5' 9L' 6‘;2'/e'4_,7to a-/ 6(//J
❑ Building Permit
❑ Change in Use
❑ Grading
❑ Manufactured Home Permit
0 Relocation
0 Sign
0 Tenant (New/Change)
)J Other ,ppm
Department Use Only
Water District/Purveyor.
SewerDistrict/Purveyor
Road width
Setbacks
Front Rear.
Left: Right:
School District:
Fire District
Zoning
OWNER/APPLICANT INFORMATION
0 Indicate who should be , onlacled reeardin2 ibis prnjeei
�l)rrner: ,(�
-Q/!tl i )7 , D!/t-. X
✓Q �j 9L/..,y.
Phone: ? �/ `7aia�- `
l..ac
Applicant:
jj �j
✓�* Its/ f
Phone:
/
4/4
6t f K//jF� Fax:
Mailing :Address:
742' /V 6'CFe''2.'9 atc-2s
,,(9°'
Mailing Address:
2'"1 floor sq. ft.
-
Finished basement sq. ft.
(:,rr, State, Lip
Construction type
f,La#(
City, State, Lip
Deck sq. ft
❑ Contractor
Phone
Fax
I
0 Architect/Engineer
Phone
Fax
Nlailing address
Mailing address
Cin-, State Lip
City, State Zip
WA State Contractor license #
Contact name:
PROTECT INFORMATION
Building Information
Building height to peak
/y / /
# of stories
/
Stain floor sq. ft.
73.1. /�,6.
Unfinished basement sc . ft.
73,
//
Dtmcnstons a9 X 3 3-z ,4 ,
,e g /x y' Gg/
)'otal habitable space
f 3z 11 '
2'"1 floor sq. ft.
-
Finished basement sq. ft.
Occupancy group v
Construction type
f,La#(
Garage Al. ft. /
02 -./2 = 'V/
Deck sq. ft
Cost of project
I leaf source (electric, gas, etc.)