1996, 05-31 Permit App: 96003947 Tear Off, ReroofN
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What is the JOB SITE address?
APPLICATION INFORMATION
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Legal description as it appears on the property deed
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ASSES OR'S tax parcel number?
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OWNER or OCCUPANT
Mailing address
City, state
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Who should we contact regardi this project? c
What work is being done under this permit?
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Phone
Phone
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Property size
Building height
# of stories
Contractor
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W State ContractXcense #
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Dimensions
TOTAL SQUARE FOOTAGE
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Main floor area
Unfinished basement area
Mailing address
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Architect/Engineer
2nd floor area
Finished basement area
Garage area
Size of decks, etc.
What is the heat source?
Manufactured Home
What is the cost of your proje a
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
Fire Sprinkler
Tent
Paint booth _ Fire Alarm _ Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fu& IStcrage 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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