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2000, 08-02 Permit App: 00006742 Reroof
l l SPOKANE COUNTY PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 Project Description: TYPE OF APPLICATION O Building Permit O Change in Use O Grading O Manufactured Home Permit O Relocation O Sign O Tenant (New/Change) O Other SPECIFIC SITE INFORMATION Street Address: y /0 0 Assessor's Tax Parcel umber(s): &um o 3 '7 Legal Description: Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Fire District:. Zoning Setbacks Front: Left: Rear: Right: OWNER/APPLICANT INFORMATION 0 Indicate who should be contacted regarding this project ,F5 ;39 'CUYti� `///L_eiCCt Phone: / d'�Fax:Fax: / 1 /759. / C O Applicant: Phone: MaiAddress: c7 6 S S2•4 /2c, z_ 2''d floor sq. ft. Mailing Address: Occupancy group City, tate,SZip /‘:76-9 (A3 A- 9 7 City, State, Zip O Contractor /F Phone Fax 0 Architect/Engineer Phone Fax Mailing addre Mailing address City, State Zip City, State Zip WA State Contractor licensed Contact name: PROJECT INFORMATION Building Information Building height to peak # of stories Main 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 proj©t ___±./),. Heat source (electric, gas, etc.) Width: Length: Sign' What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Area of existing signs Previous address Fire Safety Fire Sprinkler Paint booth Fire Alarm Tent Fireworks display Proposed use Value Special InspectionsRequired? Firm Name Phone Non -Residential Energy Code Compliance? Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? O Yes O 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? If yes, identify on site plan O Yes O No What is the current use of this property? Is your property in a designated wildlife habitat area? O Don't know O Yes O No Will the site be served by a septic system? O Yes O No Is any part of the property within a 100 yr flood plain? If yes, identify on site plan O Maybe O Don't know O Yes O No Are or will there be wells located on the property? If yes, identify on the site plan O Yes O No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, identify on site plan O Yes O No Is there evidence of fill or excavation on the property? O Yes O No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) ( — %) O Yes O No Are critical or hazardous materials used or stored on site? O Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? O Yes O No Is public sewer available to the site? 11 Yes O No Is the property inside the ASA? O Yes OYes O No Cil No Is public water available to the site? O Yes O No Is the property inside the PSSA? O Yes O No Is the, property located within 1000 feet of a Natural Resource Area? O Yes O, No Date Received: Staff Representative: