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2000, 06-22 Permit App: 00005230 Remodeltt at AA SPOIcANECOUIVY PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260. 509-477-3675 Project Description: dapi%otiQNesid TYPE OF APPLICATION Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation 0 Sign 0 Tenant (New/Change) 0 Other SPECIFIC SITE INFORMATION Street Address: 49/ lij flys! A,p,/ Assessor's Tax Parcel Number(s): i1 Legal Description: ar:tment Y OWNER/APPLICANT INFORMATION El Indicate who should be contacted regarding this project iinet Phone: r 4 Fax: Building height to peak ❑ Applicant. Phone: Fax. 4 dress-. A�� �/�/ /n %//(/•/ Dimensions Mailing Address. 2"d floor sq. ft. Cittate , t Occupancy group City, State, Zip Garage sq. ft. 0 C ntr or/j�n�/�%�/ �q� Phone ��y�y /I1yer L lY/!A'!// . fr En l%�Zro Te9,S D ❑ Architect/Engineer Phone Fax Mat ng addressLLa,,// Mailing address uy tart p ,� /.fib �912/4 / City, State lip C� W tate Contractor lice ser MON1eC14 055 r Contact name: c PROJECT INFORMATION of I:,,....`' =,:.• '....";, wilding Information-. Building height to peak N of stones Hain floor sq. ft Unfinished basement sq. ft. Dimensions Total habitable space 2"d floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq ft Cost of project��! �D t 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: # of signs Area of existing signs Relocation =.;-,:-` : ° . :. Fire Safety Firm Name Previous address Fire Sprinkler Tent _ Paint booth Fire Alarm Fireworks display _ Is there evidence of fill or excavation on the property? 0 Yes 0 No Proposed use Value Address Special In'spectioris,'Reguired?„ ' Non -Residential, Elierg ' f ode Compliance? Firm Name What is the current use of this property? J . /'U�hlt ( //Y Phone Will the site be served by a septic system? 0 Yes 0 No Pians Examiner Phone Inspectors. Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (/ %) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No Address Inspector Phone ❑ Concrete 0 Welding 0 Bolting 0 Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? id Yes 0 No If yes, identify on site plan What is the current property size? (square feet or acres) n Is any part of the property within 250 feet of a shoreline? If yes, identify on site plan 0 Yes Ni.NptNo What is the current use of this property? J . /'U�hlt ( //Y Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes 1011, 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 V. No Are or will there be wells located on the property? Ifyes,identifyonthe 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 It No Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (/ %) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No DEPARTMENT USE ONLY P P. -: Y, ate,. ........ d'St r:ControlA}ea. ; Isthe_ro ei=[ imadesi nat .-=:•�'a.-.,:.,,=[JiYes;;S O:: No •. - ... Is ublicsewer;ayai a e t e .•r.• es�._ ] ie se's .::. a'/iii...b e. oothe sit'. '" :: �• .. ':- •.;:^.•'"''`�',;:e;:;i;;..i:;: o :.. .. aside the -',+..." '.,;: i' property ASA?: • "'"''• PO`Xes=[�;�;O��No: ";; Is the m,.. ..-� .-• .. , . •;, ,:,- :..t�...•�,'o:; O;YUs. T❑ No • e_._,:• . ,.: �Ispublicwaterav'� •. •' '[J°':Yes "r,•O:'No • ' ,.,. atlable,to'.the'site.,0''';`460'''',"0: Is the,ProPertY nsidethePSSA>+O�Yes'"O�'NoC� .,.. �Isthe Pr Pei.tylocfed. wit: hgais n:a. 000}.fee.{ ;o.'"aN':afu. ia•`ARe` so< urce" .Area?: - ;.,'.;::;.::'-:..s.:..,.,::...:..::_: ., ...,.:0.Yes:'.O NO. Date Received. Staff( Representative: