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2000, 04-03 Permit App: 00002253 Reroof ii4c I PROJECT APPLICATION - Detail Information SPOKANE COUNTY DIVISION OF BUILDING &CODE ENFORCEMENT Aii 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 SPOKE COUNTY 509-477-3675 Project Number: Contractor Architect / Engineer Contractu ‘ Architect/Engineer Phone -2- 5- 33 + Fax Phone Fax Mailing address 1 Mailing address �v X LLt2 City,State Zip 1 City,State Zip Spoi „C ( u A 1 612-1'�C WA State Contractor license# Contact name: CJNTTCJJ (cSo%L\NA Building Information Building height to ridge #of stories Main floor sq.ft. Unfinished basement sq.ft. Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft. 0 6 S9/.c.;,-e Construction group Construction type Garage sq.ft. Deck sq.ft. r(€ ,rtuU Cost of project Heat source(electric,gas,etc.) Manufactured Home Sign Width: Length: What is the square footage of the sign How high is the sign? face? Year: Make: Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth_ Fire Alarm Fireworks display Proposed use Value ,, DO- 22,53 lAil PROJECT APPLICATION il SPOKANE COUNTY DIVISION OF BUILDING &CODE ENFORCEMENT t ii _ 1026 WEST BROADWAY AVENUE SPOKANE,WA 99260 SPOKE COUNTY ' 509-477-3675 Project Description: ce- Y"-L,(.. Sr. TYPE OF APPLICATION 'Iuilding or Construction Permit O Grading O Manufactured Home Permit O Timber Harvest 0 Relocation 0 Change in Use O Other SPECIFIC SITE INFORMATION 2_7) '\ 1 Street Address: S (3.--S ,_)vA,r��4 Assessor's Tax Parcel Number(s): Legal Description: APPLICANT INFORMATION Ownerc,,,,.\ vv\,‘L\\ Applicant: U ye. vat, Phone:q z..7_ 0 LDL it-C Fax: Phone:9 zs 3 7 , i Fax: J 1 Mailipg Address: Mailing Address: S C u U �uoV L... �- r. o, (>,.)X IQ 2 L-3 City,State,Zip A q(1 Z f City,Slate,Zip n/ , f CZ -vim' i `_1 b �>jtCc..� i � -I`i �l�{ Contact: Auth razed Cont ct/Agent: h ve Phone: Fax: Phone: 9� . 3 33 I Fax: Mailing Address: Mailing Address:p City,State,Zip City,State,Zip S^ V--kA,--F , L--) 90.2-I ADDITIONAL INFORMATION Are,there structures on the property? 0 Yes 0 No What is the current property size? If yes,.ulentify on site plan (square feet or acres) Is any part of the property within 250 feet of a shoreline? What is the current use of this property? If yes,identi on site plan O Yes O No Is your property in a designated wildlife habitat area? Will the site be served by a septic system?O Yes 0 No 0 Don't know 0 Yes 0 No Is any part of the property within a 100 yr flood plain? ' Are or will there be wells located on the property? If yes,identify on plan If yes,identify on the site plan 0 Yes 0 No O Maybe O Don't know 0 Yes 0 No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or mining on the property? property? 0 Yes O No If yes,identify on site plan O Yes 0 No Are there slopes greater than 30%on the property? c..----- ok) 0 Yes 0 No Project Number: FOR STAFF USE ONLY. Is the property in a designated Stormwater Control Area? Is the property inside a Joint Planning Area? O Yes O No What jurisdiction? O Yes O No Is the property inside the ASA? O Yes El No Is public water available to the site? O Yes O No 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 Is public sewer available to the site? O Yes O No What is the zoning for the property? School District: Water District/Purveyor: Fire District: Sewer District/Purveyor: Date Received: Staff Representative: Comments: