1996, 01-05 Permit App: 96000111 Reroofd
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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
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Legal description as it appears an the property deed a ^ / 1^
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OWNER or OCCUPANT Phone
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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 .
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Lona ': ;, .....r....,.
Inspector district . .. ,..,
Property sue '.;
Right ot,way,vtdth
Water district:...: ."..
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... .... .,,,,
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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.
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