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1995, 09-08 Permit App: 95007124 RemodelAPPLICATION INFORMATION What is the JOB SITE address? k\ci © S -irk P‘. )t( a) a 4 Legal description as it appears on the property deed ASSESSOR'S tax parcel number? OWNER or OCCUPANT Phone L ( lam G( '.9‘ 1- ( 27 C> City, state Mailing address t l e' S Who should we contact regarding this project? Zip Phone What work is being done under tthis-�permit? �o% E 9 I — ( 2-70 ��6 Ir� Cb()CLC)(t Property size Contractor R, -`r7 c -H CQk.)sTRC}CTI Building height Dimensions # of stories TOTAL SQUARE FOOTAGE WA tate Contractor license # ( LYS 2-0-3 iling address Main floor area Unfinished basement area (62 FARO Architect/Engineer 2nd floor area Finished basement area Garage area Size of decks, etc. What is the heat source? What is the cost of your project? 22d C m Manufactured' Home Si n. 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 Relocatio't 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 1 Fue[ Storage Tank; 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.