1995, 12-04 Permit App: 95010109 Remove Oil TankAPPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?
JO ?i 1 E. .&)/Xi A3 C% - /'v /P. 1 UJ. ' 9 -o'
Legal description as it appears on the property deed
OWNER or OCCUPANT
Mailing address
Phone
l�4f<�' v� lir
(-5:eq5q-51
City, state
/ 6 J 1 /v/ xe)k) 5T •.fi '; � "/‘J wry.,
Who should we contact regarding this project?
Phone
Zip
What work is being done under this permit?
C e-17; ti Al A4 r 0 i N r »C 1>/ U ;�
(nsoector district : Property su a Right of way width;
Contractor
h 6/9 r- 7-6-‹ A-4 s z >
Building height
Dimensions
# of stories
TOTAL SQUARE FOOTAGE
D
WA State Contractor license #
/* 1
Mailing address
S 7 i {z�J Sk' SPOSPO1�� ,r//'
1�J..
Architect/Engineer
Main floor area
2nd floor area
Unfinished basement area
Finished basement area
Rang 76c4 Ov%t, c /,«t(s,'vrr�,"
•Garage area
Size of decks, etc.
What is the heat source?
What is tp 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
4.
a
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
ISwimr ingPool
(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.