2000, 04-03 Permit App: 00002253 Reroof ii4c I PROJECT APPLICATION - Detail Information
SPOKANE COUNTY DIVISION OF BUILDING &CODE ENFORCEMENT
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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
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SPOKANE COUNTY DIVISION OF BUILDING &CODE ENFORCEMENT
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_ 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:
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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
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Contact: Auth razed Cont ct/Agent:
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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: