1995, 05-24 Permit App: 95003588 Storage BldgAPPLICATION INFORMATION
\What is the JOB SITE address? ASSESSOR'S tax parcel number?
'C �lo �C /1/e C
u d t
Legal description as it appears on the property deed
453 . /c5
OWNER or OCCUPANT
6_,-N Cc reit- --
Phone
Mailing address
Ce
City, state
Zip
Who should we contact regarding this project?
_c -'-71—,c9 Ai lam% ✓ 9
Phone
What work is being done under this permit?
Contractor
WA State Contractor license #
LJ/ZTC/2/
Mailing dress
r Pe
Architect/Engineer
Building height
blmensions
Jt Kye
Main floor area
-2nd floor area
# of stories
TOTAL SQUARE FOOTAGE
/<o b
Unfinished basement area
Finished basement area
Garage 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
Contractor
Fire Sprinkler
Paint booth Fire Alarm
Tent
Fireworks display
VALUE
WA State Contractor license #
Mailing address
Contractor
WA State Contractor license #
Mailing address
Fuel Storage ;Tanks
Swimming Pool
(Circle one) Above -ground
Under
Contents of tank(s)
Contractor
►ou
Size / gallons
Size / gallons
Private
Contractor
Public/semi-private
Wa State Contractor license*
Mailing address
WA State Contractor license #
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.
M
0.
m
+EUISTERED AS,PROVIDED BY LAW ASA:.,
r' CON' CONT; , OEN•EI
REGISTRATION NUMBER;.
ALL$E �►2 t
:4604 :W 34Tfi
SPCkstWE
SIGNATURE
ISSUED BY DEPARTMENT OFI "
LABDR AND INDUSTRIES
}333340#'903Wi ''g 323 2.133iAFr TSE2,{ s.>33fuif313s2 ,3 : trvs?..sb ii ii?'3 3i73
{
` -'e t 2: 2 t2 <•23i S v I d<:i{ { i 22j23i};3 Lf :f 32{3?322217--».7>f s}'<,iji323i37,fss17;.;yii 22'?2f I3Y3«231 tid•lh.}f?fia
.,,?, . 7 ..s33..,.i,�ss • ..,s.3,.,?2 rt.. ,..ii#33,3 # , •.s?. sf3.s,3 . .. , ...3?�. 3 Si.. 3
l'tPss-a5
ROAD eco
f;=`v'iEWED BY:
ALL SE T6ACKS INDICATED ARE
FROM THE PROPERTY LINE OR
CENTER LINE OF RIGHT- OF -WAY
WHICHEVER IS MOST RESTRICTIVE
THE CURB IS NOT NECESSARILY
THE PROPERTY LINE
S'
pee pcfel
a�;//A�
/Ye lege
O N p c �J'eo c..3 e r
/C
s°3C•Zc eccy
�w, r