1996, 03-05 Permit App: 96001105 Reroof4-,
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116 APPLICATION INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.
What is the JOB SITE address? ASSESSORS tax parcel number? ROt
5() 5 _ C(le K-- ..S-".3"- e
Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
`i;- ---- /p ? S -----
Mailing address City, state Zip
.',----a
Who should we contact regarding this project? Phone
-71 ('-71C--ie 3 2 ? - ey s:)7(
What work is being done under this permit?
4/ - z(---7' /) - v
one
Mspector district „
Property size
- :
„
Kight ot way width
a)
Water district
a,
0
0
Building::-:: i,„„::::,,,i„, ,, , „:
Building height
# of stories/
Contractor (
- 4 Sf( Cie(E,/iT'C ‘
7;-fw r FY/
4 /-0
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
F/52-T-FC-C)L/6 '
Main floor area
Unfinished basement area
Mailing address
(-^-) • 2" 3 2- Cituillo , c --D• 4-0,-t- ,
2nd floor area
Finished basement area
r v
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source] --
What is the cost of your project?
CV
•
Manufadured Home
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 :• ::;;:; y:
Fire Safety".
Fire Sprinkler Tent
Previous address
Paint booth Fire Alarm Fireworks display
VALUE
Contractor
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
•
FtlerStoeade TitinkS:i•::::!* i:iii!!•;•ii! : :,
Swimming Pool ': ' ' :
(Circle one) Above -ground Underground
Size / gallons
Private
Contents of tank(s)
Size / gallons
Public/semi-private
Contractor
Contractor
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
............. --- — . . ,-..-.,
in w ni r IRIrflrilt A Al'InKI
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities.