1995, 11-29 Permit App: 95009951 Reroofn
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APPLICATION INFORMATION
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'What is the JOB SITE address? I /hASSESSOR'S tax parcel number?
5 �Qneecl4m (-i5._S.oko3
11
Legal description as it appears on the property deed `.-/ ivibcr La we
1-5 ,6-4
OWNER or OCCUPANT Phone
Mailing address City, state Zip
S' Dg)7 eeclhpon 5/9o) ne 64 -its -A.
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Who should we contact regarding this project? Phone
What �work
is being done under this permit?
Lone
Inspector district
Property size
Hight of way width
Water district .
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Building.t,
[ Building height
V�
# of stories
Contractor,
e 5 On I! , -Q—
EY 2162rnI
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license # Main floor area
ecT k)r' 133 3 (4
Unfinished basement area
Mailing address ✓
S I 07 F-Gt
I / r2nd floor area
rl ail A- 42- 5-IQ1 gne
Finished basement area
Archrtect/Engineer
Garage area
Size of decks, etc.
What is the heat source? What is the coat of yourct?
> `1-006
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 # We 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
1 _
Foal Storage.Tan.ks Swimming PoOI..:.
(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 i 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.
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