1995, 05-18 Permit App: 95003415 RemodelJ
..._._.. 95- 345
APPLICATION INFORMATION
L
FWr-01
thJOB SITE address? AESORS tax parcel number?
(71(eer,aes
Legal description as it appeara on thd-property deed
0+C3 0 1 a. -F-- a . t7- 'q L - c 3
OWNER or OCCUPANT
F. Divi Skonk o n 3. rtio
Phone
(SL 1 'a .7 -g341g
Mailing address City, state
1-191-d . O rtD D y € (y) OEQ,'-e s kAIA
Phone
Who should we contact regarding this'project?
What work is being done under this permit?
r1" -CL r (V3 t i tiC s ke e -roc k,i (lc 0-P CAnke. A - (Vel C1 vAi n-er-
Contractor
Building height
`- mensions
# of stories
TOTAL SQUARE FOOTAGE
c) 0.2 9,Ff
WA State Contractor license*
Main floor area
)Nailing address
2nd floor area
Unfinished basement area .-,
/010s
Finished basement area 2T
?CPy% 3Q S'
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source? , 1
��, reyiausl -
What is the cost of your project? c
Manufactu
red 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.
0.
m
Rpm 'S duel *des 0
MwJe q ioN 0
311S 9 CysmonwB,apun
ld2)1
Ndid %i .`dddd
dib
10Z • HiOIM
s6wplmq pasodwd >g Duiisixe !iv 0
Mill Auedwd )g spew eieA!Jd
'sAeM iqO! 'spew jo Jaluao ww4 seoueisia 0
sivawsee sAeMan!Jp 'sAeMpew nv O
:DNIMO1,Od 3H1 3al13NI
�s a
H013031-16IN'
NO
d S3F1
a3M3It38 N338
3AVH SNd
31013N (Z
9NIN3d0 dV3
S3H NI E I
1H:0131•4 JNIN: d0 Y#31
13N
no3ti sS
W
P7
stilt°
)14
•
v400)
l
I
w) C
Kt
rrf
•
A
•
0
L
GON
_A puny
01
• uBId a !9
sou,;Jo, lu
up* p• ema! AJ01111
ee
I pewee I IPII
enq
oq items Qulprynq tem
elsitlesere emw !o IWO
SD88')xA MJn0t nork,'
ouusixs
AIIioa Iq
MIU Jai p
1411M 0I0
'ROI *JR 1
,BUM ii5 'Q
1111u
Atm
be,
AMC
'Lc