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1996, 01-05 Permit App: 96000111 Reroofd 0, n at 0 APPLICATION -INFORMATION 51.60 9a_ 'What is the JOB SITE address? ASSESSOR'S tax parcel number? &. 1 \y\J C---tic-Q. A-214/4-0 oz Legal description as it appears an the property deed a ^ / 1^ g6-/// 70.3 eP OWNER or OCCUPANT Phone ?rtsk4 G° »z7 i `'\a1-8(DOS Mailing address City, state Zip Who should we contact regarding this project? Phone S c y Cit. ' rQ 4 5k -i tt11 I What work is being done under this permit? R . G, �18o,ai� --c Lona ': ;, .....r....,. Inspector district . .. ,.., Property sue '.; Right ot,way,vtdth Water district:...: .".. ',:;:, ....: ... .... .,,,, ... .. Building:',.. :. .: Building height If of stories Contractor N\r. `?Lk:l\& Q_ ,2aS �':al ut:\ Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license # a ON9,P,vsRse>lo 1OA Main floor area Unfinished basement area Mailir)g address -.0 1 1a3 .' Wis r(.— 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 Relocation Fire Safet Previous address Fire Sprinkler _ Tent Paint booth _ Fire Alarm _ Fireworks d splay VALUE Contractor . Contractor WA State Contractor license # WA State Contractor license # Mailing address Mailing address Fuel:Storage Tanks., Swimming Pool""" (Circle one) Above -ground Under round Size / gallons Privets Contents of tank(s) �Slze / gallons Public/semi-private Contractor Contractor Wa State Contractor license # WA State Contractor license # Mailing address Mailing address Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programa activities. 0)