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1996, 09-16 Permit App: 96007772 Tear Off, Reroof(a t0 n co 0 '767 sr/7a, APPLICATION INFORMATION 'what is the JOB SITE address? ASSESSOR'S tax parcel number? t -r>_ \CI Wt..", k."-1/4-- . 'P lA.l^a . Legal description as it appears on the property deed OWNER or OCCUPANT Phone 0 50c [' Q -C r)V;L t c.No` S g,; -16 CO Mailing address City, state Zip r I`td-4f Ec n. £r, 1o\Ca,+,2 cJ Who should we contact regarding this project? Phone L is O , Epk (gag> 4--7 -051(40 What work is being done unde his permit? —cd.zs.r o%Q e :St.s...x Cec_c� S:c.S t -'a- -rooQ .-a-S .r --.es es- l0--z�.n..-- cC <.be rrylac5 R.2 — \--peg C1?0 ,-1--.or-‘ -5‘im.:,-.X Cl Lone . . Inspector district Property size .. ., . Hight of way width Water district Building Bu' mg heig t # of stories Contractor l CO)�''�nJ q /\/--C,J ensions TOTAL SQUARE FOOTAGE WA State Co ctor license # If Main floor area Unfinished basement area Mauling address • / (FG• �i/t d floor area Finished basement area Architect/Enginee Gar ge area Size of decks, etc. What is the heat source? at is the cost of your project? `y 0-0 Med-, r,'„ f}prox;.�-,4c "root�- Manufactured Home Sign Width: Length' Whet 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 Relocation . Fire Safety •.•':. Previous address Fire Sprinkler Tent _ Paint booth _ Fire Alarm _ 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 Size / gallons Private Contents of tank(s) Size / gallons 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. m N d