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1996, 10-09 Permit App: 96008816 ReroofAPPLICATION INFORMATION What is the JOB SITE address? ASSESSOR'S tax parcel number? z-/ 1 )},„_, Legal description as it appears on the property deed i Q / 3 3 /lv d-- / P �%% r` 5-5 �` .-7-, 517 e-�oV 7, / l OWNE��, or OCCUPANT Phone t'amPb\- 6)rp� Mailing address C' stat Zip City, 5. /y2-3 d o6J h© a - 4,-,, 9qz P Who should we contact regarding this project? Phone / C D z./.6, What work is beim done under this permit? I✓ Lone r inspector district Property size Right of way width 1 i Water district Building Building height # of stories Cont actor ;)-"Gvyne,\o_ C.,4---12-- Dimensions TOTAL SQUARE FOOTAGE WA tate Contractor license # Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area Architect/Engineer /What Garage area Size of decks, etc. 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 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 Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programs or activities. a d O