1995, 03-28 Permit App: 95001776 Roof ConversionN
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APPLICATION INFORMATION
What is the o
JOBSITE address? p ASSESSORS tax parcel number?
N0,01 .502- ESsIF ,2Q
Legal description as it appears on the property deet)
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OWNER or OCCUPANT Phone
6408E-NBaP-6- n27 ?z‘ -82_57
Mailing address City, state Zip
n1 /57J 5ES5IC SPQM,AJE \JJA 44z_./z
Who should we contact regarding this project? Phone
DAN G/Z ENBO2G ?z.‘,-827-sy
What work is being done under this permit?
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Inspector distract,,, ; ,,;,,
Propertysize_ - -- >ige
ht of way width--.
Water district
Building .
Building height
# of stories
Contractor
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Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license # -
DM! EJGo85P3
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 cost of your project?
Manufactured Home ;; - ':r
Sign
Width: _
Length:
What is the square footage of
the sign face?
How high is the sign?
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Year:
Make:
Installer
Contractor -
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire -Safety
Previous address
-
Fire Sprinkler Tent
_
_ Paint booth _ Fire Alarm Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel_Storage_ Tanks-' `:
Swimming PoOI ::,:i'..1
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
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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