1996, 07-02 Permit App: 96005139 Tear Off, ReroofAPPLICATION INFORMATION
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--What is the JOB SITE address?
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Legal description as it appears on the prfopper y deed
ASSESSOR'S tax parcel number? ° � /
MiQY?J2x 44ic//
OWNER or OCCUPANT
PA t l f -/T S14;,7?
Mailing address
S m /Pt'
Who s Id we contact
Phone
7th -
City, state
Zip
regarding this Project?
SDG Di lA et 1/'r )1� � �"1.S,
Wh t work is being done/under this permit?
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6 rod/"-ic.--A-fi(71
Phone
Right of way width _.
Water district..
Building height
# of stories
Contractor
Voi11r), Co�. 2, 1 rC
WA State Contractor 'JIB, 'V / /v� license
,�o L l
Mailing address
S15 /664,)
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Architect/
Dimensions
TOTAL SQUARE FOOTAGE
Main floor area
Unfinished basement area
64(r 492c'
Garage area
2nd floor area
Finished basement area
Size of decks, etc.
What is the heat source?
What is t
ost ofyp�f pro) tit? 1 7J I
Manufactured Home
Sign "
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
Contractor
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
WA State Contractor license*
WA State Contractor license #
Mailing address
Mailing address
Fu*l `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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