1995, 10-31 Permit App: 95009070 ReroofAPPLICATION INFORMATION
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What is the JOB SITE address?
// 4//9 , r14;R.y,440 S/,Kl4nle-: WA. llaoc,
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
OWNER or OCCUPANT
Phone
LIANA
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Mailing addressCity, state Zip
it Y/41 Fes,Rv,Ew 5'PoKAAiE/ toff 9clgocp
Phone
Who should we contact regarding this project? �y�3-5-5-0y
S� F RRA C o A1ST
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What work is being done under this permit?
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rsuiiding
Contractor
SIERRA .0/417.144.(riosAr cDP sPok4 JE ,N
Building height
'dimensions
I# of stories
TOTAL SQUARE FOOTAGE
1
1
WA State Contractor license #
51ERRdSoSoAls----
Mailing address
6,00 Af a',.tl i A s Po)2q-iJE/ I J q 12 o7
Architect/Engineer
Main floor area
''2nd floor area
Unfinished basement area
Finished basement area
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project? ti 0
Manufactured Home
Sign
Width:
Length:
What is the square footage of
the sign face7
How high is the sign?
Year:
Make:
Installer
Contractor
Wa State Contractor license #
Wa State Contractor license #
Mailing address
Mailing address
Relocation
ire Safety
Previous address
Contractor
WA State Contractor license #
Mailing address
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display _
ALUE
Contractor
WA State Contractor license #
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.