1995, 06-27 Permit App: 95004638 Reroofd
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
1107 9. 60 fLer-cu(
Legal description as it appears on the property deed
Live R
OWNER or UPANT
r60074-9—
Mailing address ^�I �y" t
wer
Phone S3S — 3711
Who should we contact regarding this project?
G1
City, state
5�
c`�Zip
CT 2/1_
Phone.
2-4(. 306 7
What work is being one under this permit?
6
Q
WA $la
dd ractor license # f
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
m
h
Y
a
m
Main floor area
Unfinished basement area
Mailing a ress
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
Whet 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:
Installer
Contractor
We State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address .
Relocation
Fire Safety;,
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
Contractor
•
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
Fuel Storage Tanks:
(Circle one) Above -ground Underground
Contents of tank(s)
Size / gallons
Swimming Pool
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.