2000, 04-12 Permit App: 00002625 Tear Off, Reroof r . b
i i PROJECT APPLICATION
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SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOK�II�1 COUI�Tl' SPOKANE, WA 99260
• 509-477-3675
Project Description: i a1 (2 0 -1(-: 1E7 O7
TYPE OF APPLICATION
1Building or Construction Permit O Grading 0 Manufactured Home Permit
i •
O Timber Harvest 0 Relocation O Change in Use
O Other
�SPECIFIC SITE INFORMATION
Street Address: /.2... ‘,0c, J -)pc.,, /,a EU� A �•9 2/c
Assessor's Tax Parcel Number(s): !`
Legal ,Descriptio`
6(s�Nf i 2031 D (It
APPLICANT INFORMATION
Owner: ,--77K
-0 6� n T Zr5(2 6 mAA- Ni Applicant:
i_C 3 ge_ / c 16; ik-vo IV
Phone: Fax: Phone: Fax:
2.ii 4/5-cc, i+-t,
Mailing Address: Mailing Address: r
l 2(.,0(4 f- 3 : 5/-�i&L,�.
City,Sl
ate,Zi City,State,Zip
/}- 15 zic
Contact: Authorized Contact/Agent:
anti;t=e—
' Phone: Fie: Phone: Fax:
Mailing Address: Mailing Address:
City,State,Zip City,State,Zip
ADDITIONAL INFORMATION
Are therestructures on the property? (Yes 0 No What is the current property size?
If yes,identify on site plan NO LA 5 . (square feet or acres)
Is any,part:of the property within 250 feet of a shoreline? ' What is the Trent use of This..property?
If yes;identify on site plan 0 Yes 2(No (C t',1 D EN(C'
Is your property in a designated wildlife habitat area.. Will the site be served by a septic system?0 Yes 0'No
- O Don't know 0 Yes , t No l
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 0 Yes l No
O Maybe 0 Don't know 0 Yes (g,No !/
Are there any wetlands,streams or ponds within 200 feet of the Is there evidence of fill or mining on the property?
property? O Yes 7No
r Nr
;ryes,identify 01'51(C,PL:': o
Ire there slopes treater,_.-.:. 30%c•c :he t-:-.Tet- -?
-- ",/,,)c,/,,) 1 No
- (
Project Number:
FOR STAFF USE ONLY.
Is the property in a designated Stormwater Control Area? Is the property inside a Joint Planning Area?
0 Yes 0 No What jurisdiction? 0 Yes 0 No
Is the property inside the ASA? 0 Yes 0 No Is public water available to the site? 0 Yes 0 No
O Yes O No
Is the property inside the PSSA? 0 Yes 0 No Is the property located within 1000 feet of a Natural Resource
Area? 0 Yes 0 No
Is public sewer available to the site? 0 Yes 0 No What :s the zoning for the property?
School District: Water District/Purveyor: Fire District: Sewer District/Purveyor:
Date Received: Staff Representative:
Comments:
i PROJECT APPLICATION Detail Information
SPOKANE COUNTY DIVISION OF BUILDING CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE
SPOKANE, WA 99260
SPOKANE COUNTY
509-477-3675
Project Number:
Contractor N E2 Architect/Engineer
Contractor Architect/Engineer
Phone Fax
Phone Fax
Mailing address Mailing address
City,State Zip City,State Zip
WA State Contractor license# Contact name:
Building Information
Building height to ridge H of stories Main floor sq.ft. Unfinished basement sq.ft.
Dimensions Total habitable space 2"d floor sq.ft. Finished basement sq.ft.
Construction group Construction type Garage sq.ft. Deck sq.ft.
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:
3
Relocation Fire Safety
Previous address Fire Sprinkler Tent
Paint booth Fire Alarm Fireworks display
Proposed use Value