HomeMy WebLinkAbout1995, 09-22 Permit App: 95007616 Window, Reroof4,
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APPLICATtG)N INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
P
Legal description as it appears on the property deed
OWNER or OCCUPANT
Phone
(979
Mailing address
((go CPI PR(i,
City, state
Zip
Who should we contact regarding this project?
Phone
What work is being done under this permit?
X'0—, p
B
Building height
# of stories
Contractor
cJ 6' J C6kJ7
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
POL`-(—)K )Q3 ti
Main floor area
Unfinished basement area
Mailing address
162 C -G rv ( �)
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost 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
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Y
a
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
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.