1995, 08-03 Permit App: 95005957 Pool0
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APPLICATION INFORMATION
hat is the JOB SITE address? ASSESSOR'S tax parcel number?
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rgal description as it appears on the property deed
[ho
ailing address City, state ip
220 s 2 - y9z
should we contact regarding this project? Phone
What work Is being'd'one under this permit?
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A State Contractor license # Main floor area Unfinished basement area
Mailing address 2nd floor area Finishedsame area
chdect/ngineer Garage area Size of decks, etc.
What is the heat source? What is the cost of your project?
kith: Length: lWhat is the square footage of How high is the sign7
the sign face7
Fear: Make:
IWe State Contractor license # IWa State Contractor license # I
IMailino address IMailina address
Previous address Fire Sprinkler _ Tent
Paint booth _ Fire Alarm _ Fireworks display
LLUE
license #
Int Ll l r Irl Itl 1
/ gallons
a State Contractor license # A Stat L r-ontractor license #
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Mailing address Mailing address
COMPLETE ALL APPLICABLE INFORMATION
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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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