1996, 09-09 Permit App: 96007489 ReroofAPPLICATION INFORMATION
What is the JOB SITE address?
"50kâ!// f/1
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
OWNER or OCCUPANT
7aa .e7L /904--,4 h
Phone
Mailing address
sa i S. BD .,,/-/-4
Who should we contact regarding this project?
77Z-0 y /Za lrc â5P.o J/6S
City, state
Phone
Zip
926 - 936s
What work is being done under this permit?
Contractor
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
m
N
D
a+
C.
m
D
WA State Contractor license #
Mailing address
,/Cave-, ,27'f- 06z 7E
Main floor area
Unfinished basement area
Architect/Engineer
2nd floor area
Finished basement area
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project/
Lr -
a s9s:
ManufacturedHorn
Sign
9::
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
Fire Safety
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display _
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license # .
Mailing address
Mailing address
1
Fuel Storage Tanks:...:
'Swimming Pool
(Circle one) Above -ground
Underground
Contents of tank(s)
Size / gallons
Size / gallons
Private
Contractor
Contractor
Public/semi-private
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.