1995, 08-28 Permit App: 95006752 Demolition BarnN
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APPLICATION INFORMATION
What is the JO ITE address'?.
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Lal d • ' n a iti pears on the p d
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ASSESSOR'S tax parcel number?
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OWNER or OCCU/T
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Phone
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Zip
Mailing address City, state
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Who should tact regarding th' oject?
o i f�'� ng done under this
Phone
What w permit?
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Contract
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Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
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WA State Contractor license #
floor area
Mailing address
g. ‘<1. CDS- V
Architect/Engineer
2nd floor area
Garage area
Unfinished basement area
Finished basement 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 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
Wa State Contractor license #
WA State Contractor license #
Mailing address
Mailing address
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COMPLETE ALL APPLICABLE INFORMATION
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