1995, 10-20 Permit App: 95008705 ReroofY
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APPLICATION INFORMATION
'What is the JOB SITE address? ASSESSOR'S tax parcel number]
v, 703— //-`-' c t3 LI5r74‘ 1Io3
Legal description as it appears on the property deed
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OWNER or OCCUPANT Phone
Mailing address City, state Zip
Who should we contact regarding this project? Phone j
u4.r.��' wl� icA 994 - )(7 7/
What work is being done under this permit? 3,'T✓s co --L-407o- ;d_.J /e6)0,2 d ✓fes
Lone
Inspector district
Property size
Hight of way width
Water district
BuildingBuilding
,M-6 ME t\)6-,/-0(.)6-,/-0(.0.)
(> D
height
/ ) rd 27
#of stories
7
Contractor/
/4u i'!.7:"('� l C /J—
Dimensions
.2-6 6 a
TOTAL SQUARE FOOTAGE
,16 p
WA State Contractor license #
L-Ivr'IE A K $ 0667"J
Main floor area
Unfinished basement area
Mailing address
,U 7 7 C 0 '//, 6-7—.
2nd floor area
Finished basement area
Architect/Engineer -
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of yourrfroj l
dM Aj��
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 #
We 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.
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