1996, 04-22 Permit App: 96002647 ReroofLe
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APPLICATION INFORMATION
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What the JOBSITE address?r CA
ASSESSORS tax parcel number?
Legal description as it appears on the properly deed
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OWNER or OCCUPANT
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Phone
Mailing address
a31Y S CA\__\I)a-)
City, state
SPoKAtJL/ tn-)
Zip
99aoc
Who should we contact regarding this project?
Phone 9 5 3 _3U2I
What work is being done under this permit?
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Lone.
Water dishictA
Pry
Contractor
L S C o tis 2_JL L l u J ) rJ L
Building height
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Dimensions.
# of stories
TOTAL SQUARE FOOTAGE
iy SQ,
WA State Contractor license #
Mailing address c qto` no
E, 67"4 Getevmszcr 5 q o )y
Main floor area
Unfinished basement area
2nd floor area
J6 x aLI
Finished basement area
Architect/Engineer
Garage area /
i� K2O
Size of decks, etc.
What is the heat source?
G 2- C3
What is the cost of your project? / .z�
Manufactured•Home
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Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
We 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
Iruel Storage Tanks"
"wriitiiTiinCJ 00,.
(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 programa or activities.
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