1999, 01-04 Permit App: 99000011 Pole Building1
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
Legal description as it appears on a property deed
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OWN or OCCUPANT %' 1�_ ---A.
That, l7 1 / '.X
Phone
Mailing address
`a"aO`) (- 2) -,V.
Who sho Id we contact regarding this p oject?
• City, state
Bet) 42):1-) -
Zip
`
Phone
What work is being done under this permit?
BulkingCIS
Building height
# of stories
Contractor
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WA State Contractor license #
/07 it .dne
Dimensions
TOTAL SQUARE FOOTAGE
Main floor area
Unfinished basement area
Mailing address
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the coat of Kyr project?
00 0
Manufactured Home
Sign;
Width: Pr
y?#
4.0sr
Length:+t`:r`.
lfo
What is the square footage of
the sign face?
How high is the sign?
Year: I.
•
Make:
Installer .'- _/•.
Contractor
N
N
Y
Q
N
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Wa State Contractor license #
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Wa State Contractor license 1
Mailing address
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Mailing.address
Relocation
Previous address
Fire: Safety,
Fire Sprinkler
Paint booth Fire Alarm _
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuei Storage Tanks
Swimming', Pool
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
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INCLUDE THE FOLLOWING:
❑ All roadways, driveways & easments
❑ Distances from center of roads, right of ways,
private roads & property lines
O All existing & proposed buildings
❑ Underground utilities
❑ North arrow
0 Septic tanks & wells