1996, 07-12 Permit App: 96005123 ReroofAPPLICATION, INFORMATION
1IVhat is the JOB SITE address? • ASSESSOR'S tax parcel number? HtCEIVtD
SPOKANE COUNTY
E the
44.
Legal description as it appears on the property deed
.1111 0 8 1996
OWNER or OCCUP
ling address
III t. a 1152,j
Wshould we co tact rega di g this pro' t?
0
NT
Phone
DIVISION 0
E3Y:
r DUILDING AND PLANNINta
City tate p
J
Phon
LUQC 4qaic,„
What work is being done under this permit?
i�-/c,i ougo,
Zone
Inspector district;;,:
Right of way width
Contractor
1+EW) 2S aN PwFmJ( N? . .
WA State Contractor license #
}f - 2E2 0-6--
Mailing a ress
Df S , P;n-e 5
Arc itect/ ngineer
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
Main floor area
Unfinished basement area
2nd floor area
Finished basement area
Garage area
Size of decks, etc.
Whet is the heat source?
What is the coat of your project?
Manufactured Home
Sign
idth:
Year:
Length:
What is the square footage of
the sign face?
How high is the sign?
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
IFuel Storage Tanks
Swimming Pool