1996, 06-28 Permit App: 96004933 ReroofAPPLICATION -INFORMATION
What Is the JOB S address?
�.- '`S^ vrr�s
Legal description as it appears on the property deed
/
OWNS or C6iq
(T
"730015
Mailing address
Who should wi c thi roj t?
ASSESSOR'S tax parcel number?
City, s
gr9.--90
Phone
-
Zip
What work is being done under this permit?
QP51,,,rn
Buildin
Contractor
WbaRSof PDOmJ( 6..
WA State Contractor license #
mailing address
Building height
Dimensions
Right of way width
# of stories
TOTAL SQUARE FOOTAGE
Main floor area
Unfinished basement area
IDO S. 1)%n -e5
Architect/Engineer
2nd floor area
Finished basement area
Garage area
Size of decks, etc.
What is the heat source?
What is the coat of your project?
Manufactured Home .:
Sign.
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
l
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
1
1
Fuel Storage Tan
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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C.
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