1996, 06-07 Permit App: 96004221 Tear Off, Reroof"
JUN n7 '96 1117: 24RM
, APPLICATION INFORMATION
Whzt tr the JOB rocs?
t.
O& i6em
Legal description as k appears on the propertydeed
aca.
47t350R S tax parcel number?
•
OWNER or OCCUPAN.
.tL
Mailing addreaft4,
/71 4-6 in
Phone
ak11.2—
/
,State
Who should we Cantata regarding this project'?
2 CWC 17
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Phone
What work Is being done under this permit?
roofcer
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45
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Btalchn
Contradict
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gc_Aioz_ A ROO'n.ilf CO
WA St0teC0ntractorilcense 0
15 -6* -1 voRcn 1<e<
Melina ad 1roe
Building
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Dimensions
Main floor floor area
—27—ful icor area
ij/30 P /‘;k alan -/Wt‘,--&L_ntet/Engineer Garage area
5/90,4/rege/Reb
sa
or stories
/
TOTAL SOUNTFOOTAGE
00
Unfinitfied basement arta
—ViniThici basement area
Eins,c.
Whet Is the heat source? Whet Is the coat of your roir.ree, e
poranntuiseH Sign.........................................................................................................................................................
Width: Length:
What is the square footage of
the sign facia
How high is the aign?
Year:
Make:
Installer -
Convector
1
Wo State Contractor license
We State Contractor license
Melling address
Mailing eddreirs
R,eIoation
,,
Fire Safet
Preyituladdrass
Contractor
Fire Sprinkler
Paint booth Fire Alarrn
Tent.
Fireworks display • •
VALUE
—Alma coreractcr licence le
Mailing address
Contractor
WA State Contractor license
Mailing address
F-uel Storage Tanks
(Circle one) A boye-ground Underground
Contentsof tank(s)
size / goons
Contractor
4
c
We State Contractor license a
Medina address
V
Post -Ir brand fax transmittal memo
0 of ageir,.117*,
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rmustek-r-
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Co.
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r•-.ArsS).
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Dept,
Slevre—rt
Fax 4 (437....7.-a4-)
Fax
.
.
COMPLETE ALL APPLICABLE INFORMATM
Spokane County does not discriminate on the basis of diaability in the admission to, or treatment er employment in, its programa or ectivities.