1995, 02-08 Permit App: 95000680 Reroof;
APPLICATION INFORMATION
\Nhat is the JOB SITE address?
3507 D (7'
Legal description as it appears on the property deed
ASSESSOR'S tax parcel number?
—
OWNER or OCCUPANT
Mai ing address
Phone
q2 -24--4
35c.7
Who should we contact regarding this project?
MPS c(
City, state
Zip
Phone
7Ff
What work is being done under this permit?
Inspector district
Contractor
WA State Contractor license #
Building height
Dimensions
Main floor area
# of stories
TOTAL SQUARE FOOTAGE
Unfinished basement area
Mailing address
/2 2 /
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?
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
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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