1996, 06-13 Permit App: 96004452 MHd
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APPLICATION INFORMATION
'Khat is the JOB SITE address? ASSESSOR'S tax parcel number?
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Legal dee/Fscription as k appe�ajrs on the pr�ops deed / / � J)
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OWNER or OCCUPANTPhone
L.l Chet -r---c-4/. � 5-5---57---,
Mailing addret City, state Zip
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Who should we contact regarding this roject?- Phone
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What work is being done under this permit? k
Lone
Inspector district
Property size
Hight of way width
Water district ..
..
.. .:
.
Budding
Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
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?
Whet is the cost of your project?
Manufactured Home - .'::.. .;,
Sign- 9
Width:
2G, p7,
Y
Length:
L/ 3`/
What is the square footage of
the sign face?
How high is the sign?
Year:
/,- -
Make:
(f- rc
Installer {
Contractor
Contractor
We State C� ct ryenee #
Wa State Contractor license #
Mailing address
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//// 1/- L19%/'&�C,:.`"AAe/-3,L?j
Mailing
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 :::.::
Cwiroming Root,;. .- _
(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
ATION
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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