1996, 03-04 Permit App: 96001066 Basement Bathroom, Laundryn
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
x, 35 r« [ „,-1-, )fr, J
Legal description as it appears on the property deed
OWNER or OCCUPANT 5 Phone
I ekov J. I. 111 -nn r.wa 1-- 923s-2-2 /
Mailing address City, state Zip
N.As-1 ( L:JG1<INU aJe/% SJ I(c.--- Luen' 24.4.
Who should we contact regarding this project'? 1 Phone
What work is being done
under this permit?
b,,-1 t"._ v ua,,._-, ti -.ay (r -i
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Lone ,,
Inspector district
Property size .. ,
Right of way width
Water district ., .:
vy,,
Building y : . ..:... : .. :
Building height
# of stones
Contractor
0 .--ney-
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #
Main floor area
Unfinished basement area
Mailing address
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?
,f' LiTO0.00
/
Manufactured Home
Sign.,
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
We State Contractor license #
Wa 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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