1996, 08-30 Permit App: 96007237 Egress Windowsn
m
APPLICATION INFORMATION
'What is the JOB SITE address? ASSESSOR'S tax parcel number?
11,9-Q r, RIale Ed
0
Legal description as d appears on the property deed
01
c
OW =R or OCCUPANT - Phone
b q n dG +1-ct.ti h.�o 9a a 17 ht a
Mails g address
IIlav 9041'Ave
Crty, state Zip
o Lo g14a
Who^should we contact regarding this project?
ROY) OY) +I A -PA
Phone
qa i- 17 -r a.
What work is b ing done
,-4UV-II
under this permit?
(%
1)
Lon - "'
Inspector district . • . - -. -
..
rope size -- _ :
Right of vray.width:.,
Water district ...
....
-
-
Building
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?
What is the cost of your projects VO
Manufactured Home• •
Sign
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
We State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
RelocationH;; .
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 Pool
(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
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.
al
N
d