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2000, 08-02 Permit App: 00006719 Basement w r 00 (0-1 ihi PROJECT APPLICATION SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE I R-I SPOKANE,WA 99260 SPOIcAXE COtKrY 509-477-3675 Project Description: 'S�'l e f'o c/-^y 8Cr S"Ir TYPE OF APPLICATION D"Building Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit 0 Relocation 0 Sign 0 Tenant (New/Change) 0 Other SPECIFIC SITE INFORMATION Street Address: J c� r 0 Assessor's Tax Parcel Number(s): Legal Description: Department Use Only Water District/Purveyor: Sewer District/Purveyor Road width Setbacks Front: Rear: SchoolDistrict: Fire District: Zoning J Left: Right: OWNER/APPLICANT INFORMATION �/ 0 Indicate who should be contacted regarding this project lia Owner:A Phone: 9 22-113/S 0 Applicant: Phone: Ct. Creel, Fax: 7Z 6-L/‘/•9 Fax: Mailing Address: Mailing Address: j(57 E City,State,Zip City,State,Zip s<,It A s a3'7 0 Contractor Phone 0 Architect/Engineer Phone *e-// Fax Fax Mailing address Mailing address City,State Zip City,State Zip WA State Contractor license# Contact name: PROJECT INFORMATION Building Information Building height to peak #of stories Main floor sq.ft. Unfinished basement sq.ft. 4,0 z� Dimensions Total habitable space 2na floor sq.ft. Finished basement sq.ft. Occupancy group Construction type Garage sq.ft. Deck sq.ft. Cost of project /9-60 _0 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: #of signs Area of existing signs Relocation Fire Safety Previous address Fire Sprinkler Tent Paint booth Fire Alarm Fireworks display Proposed use Value Special Inspections Required? Non-Residential Energy Code Compliance? Firm Name Phone 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 What is the current property size? If yes,identify 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,identify 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 O No O Don't know O Yes O 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 site plan If yes,identify on the site plan O Yes O No Cl Maybe O Don't know O Yes O No Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or excavation on the property? property? O Yes O No If yes,identify on site plan O Yes El No Are there slopes greater than 30%on the property?(30 ft rise in 100 ft) Are critical or hazardous materials used or stored on site? ( - %) O Yes O No O Yes O No DEPARTMENT USE ONLY Is the property in a designated Stormwater Control Area? Is public sewer available to the site? El Yes O No O Yes' O No Is the property inside the ASA? O Yes O No Is public water available to the site? O Yes El No CI Yes ElNo Is the property inside the PSSA? O Yes O No Is the property located within 1000 feet of a Natural Resource Area) O Yes El No Date Received: Staff Representative: