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1996, 05-06 Permit App: 96003115 Tear Off, ReroofAPPLICATION INF MATION What is the JOB SITE address? 704/ //. (�n/.) Legal description as it appears on the property deed ., ASSESSOR'S tax parcel number? ' CLI OWNER or OCCUPANT /2es. j✓J Mailing address Phone City, state �vtLbrWC , w + \- Zip Who should we contact regarding this project? J�� L IJr 1t r 44'1 \lib Phone What work is being done under this permit? S -r p ��S$ r'e_sy.z�.� e�. Contractor Building height Dimensions # of stories TOTAL SQUARE FOOTAGE WA State Contractor license # Main floor area Unfinished basement area Mailing address X325 N . i{`flov-\•Y:�E__ 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks, etc. Whet is the heat source? What is the cost of your project? Manufactured Horne 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 Sprinlder _ Tent Paint booth _ Fire Alarm _ Fireworks display VALUE Contractor Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Fust -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. m ��C 4-,s r°3