1998, 05-15 Permit App: 98004125 Poola
0
APPLICATION INFORMATION
hV�V at is the JOB SITE address? ASSESSOR'S tax parcel number?
a 12. 5b. VpAze_execAt_ 6 -bit ,rrogj
Legal description as it appears on the property deed
OWNER or OC UUPNTTPhone
FZr` `l1/7S'
Mailing addr s City, state Zip
Who should we co act regarding this project? Phone
_'n'!�_ 29S(774
What work is being d e', under this permit? -
s nom.
Gone :. ..
Inspector disinct; ....property
....
"
size : :
_ _ _
Night of way width •
.. ... ..
Water district,' .:,. : _ _ .
.. .. .. ....: ....
Building, ' .
Building height
ft of stories
Contractor
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor license #....z..
Main floor area
2nd floor area
Unfinished basement area
Finished basement area
Mailing address -
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source)
What is the cost of your project?
Manufactured `oma_ _ _ :::.:..:: ;,:::.:: ':'• '::., .;,
Sign ..:
Width:
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer r ' �-
F {
Contractor
Wa State Contractor license # i
Wa State Contractor license #
Mailing address i { _ ;
..
Mailing address
Relocation.' :.
Fire Safety —
Previous address ! . i _ r
i ; r
Fire Sprinkler _ Tent _
Paint booth _ Fire Alarm _ Fireworks display
1 I
I
VALUE
Contractor $ 3 j i i I
t i
Contractor
WA State Contractor license #
WA State Contractor license #
Mailing address
Mailing address I
Fuel Storage Tanks
Swimming .Pool
(Circle one} Above -ground Underground
Size / gallons2^' -0
!
V
Private
Contents of tank(s)
Size / gallons
Public/semi-private
Contractor
Contractor
nifre
Wa State Contractor license #
WA State Co ractor license #,gEz.. t- / 2_04'1
Mailing address
Mailing address
/((/e A/ t—hw-c
'9?zJ Z --
COMPLETE ALL APPLICABLE INFORMATION
Spokane County does not discriminate on the basis of disability in the admission to, or treatment or employment in, its programa or activities.
0
ra
0.
11111111111111111111111101111111111011 11111111111111111111
01111111111111111
111111111111111111111111111111111111116111121891111
II
11111111111111111111111.11111111111111111111111111111 11
11111.11111PRIMPliellwarmin
IIIIIIIIIIIIIIINUIP!I!!III!IIIIIIIIIIIIIIIIIIIIIIIIIII
IlIIIlOIUIII!IiIIIHIIII!iIiIiIIIIIIIIIIIIIIIIIIIIIII
I
INCLUDE THE FOLLOWING: