1995, 05-15 Permit App: 95003272 Reroofi
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APPLICATION INFORMATION
hat is the JOB SITE address? ASSESSOR'S tax parcel number?
II 711 E (It, Jie CT,
Legal description as it appears property
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OWNER or OCCUPANT c l
�110�r.v 5 S
Uw.eS „1-0I53k
Phone
Mailing address
�I 7 I1 F. IG"VIC�7 C�f�Ie
City, state
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(505) eciSc
99ZOD
Who should we contact regarding this project?
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Phone
ScI-i6S
What work is being done under this permit?
Poo
Building height
# of stories
Contractor
QL )
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
Architect/Engineer
2nd floor area
—Garage area
Finished basement area
Size of decks, etc.
What is the heat source?
What is the cost of your project? . 0L �U
Manufactured Home
Sial
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 Safety;
Previous address
Fire Sprinkler
Paint booth Fire Alarm
Tent
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
Contents of tank(s)
Size / gallons
Size / gallons
Private
Public/semi-private
Contractor
Contractor
a 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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