1996, 01-02 Permit App: 96000023 ReroofAPPLICATION INFORMATION
'What is the JOB SITE address? e `l ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or OCCUPANT Phone
l/�r7r1 t'�-eco ����%r')!/
Mailing ddress City, sta a Zip
9�1 ---(7) Mac— �1onar 1 7f,,Zr
Who should we contact regarding this project? Phone e C ,/ / 9' S/ - ac -i- -
in A�1 /Ml'l/5 c91-1-; 3A09o7
What work is being done under this permit?
Lone ) .c:..
Inspector distnct
Property size - - -
Hight of way, vndth-••
Water district .:,...
.. ...
Building .. Budding height
# of stories
Contractor� Dimensions
COLV MI `J.:C._
TOTAL SQUARE FOOTAGE
WA Stat Co ractor license #
Stale
T i o'T
Main floor area
Unfinished basement area
S
Mailing address /s4.- 1 -2nd floor area
' Lo.K '3 6'r5' Iliht 0/2ie Pis 7f&).&
Finished basement area
Architect/Engineer Garage area
Size of decks, eta.
What is the heat source? What is the cost of your project71.1
I1iNn
Manufactured; Home, ':.:.. ;:: .: :: Sign 9
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
address
Fire Sprinkler Tent
_
Paint booth Fire Alarm Fireworks display
_ _
VALUE
Contractor Contractor
A State Contractor license # WA State Contractor license #
Mailing address Mailing address
1
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
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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