1995, 09-05 Permit App: 95006962 AdditiontO
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APPLICATION INFORMATION
What is the JOB SITE address? ASSESSOR'S tax parcel number?.
S /30 W -. y5z5t). 2z -01-1-
Legal description as it appears on the property deed
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OWNER or OCCUPANT Phone
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g address City, state Zip
S 730 //-e-4-.J Cr -Cera 4 1t/2lco6
Who shou d we contact regarding this project?/ Phone
O ll -CP- ( in/a-v- 5 `lY`/ti / ' r. C -P r l .23 Cr C 5/ 3;
What work is being done under this permit? \ J
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Inspector district
Property size
Right of way wdth
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Water district .:...
...,
Building: -.[.i.': ;'.':_' :.
- ... --
Building height
g. /
# of stories
Contractor/
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TOTAL SQUARE FOOTAGE
WA Stmt Contractor license #
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Main floor area
Unfinished basement area
Mai Ing ad rens /
((/ ) 7/e/ Aee-5-4 / /r(
2nd floor area
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Finished basement area
Arc itect/Engineer
Garage area
Size of decks, etc.
Whet isfthe heat source? /
L/<CTrtc AOrcc Cl .r
What is thpcosst-of your project?
`' J O00
Manufactured Home _
Sign: -.
Width: _
Length:
What is the square footage of
the sign face?
How high is the sign?
Year:
Make:
Installer
Contractor
We 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
F,`re)Stora e'tanks ' -
g
Snrimmirig Poop ... ..
-
(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
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.
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