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1996, 04-22 Permit App: 96002676 ReroofN co7 n N 0 APPLICATION INFORMATION j 0 (2VP' hat is the JOB SITE address? ASSESSOR'S tax parcel number/ / 93/8 t. A//3(0/7 Legal description as it appears on the property deed OWNER or OCCUPANT Phone Qwel er 92 v -374r Mailing address City, state Zip 1T3/6 E. //;Xor (,'pee'i9crer k/4 9Ra/6 ho should we contact regarding this project? Phone .Merl- $/fifer qAV-S6yr What work is being done under this permit? fern9F 1o/L?e '— 6:V£i2._. EKIsTi NG-- InspectordIstnct, ... Property size:.,; .. ,. Rightot way vet dth ater district r . .. Building; Budding height # of stories Contractor 0LW? e/' Dimensions TOTAL SQUARE FOOTAGE WA State Contractor license # Main floor area Unfinished basement area Mailing address 2nd floor area Finished basement area Architect/Engineer Garage area Size of decks, etc. What is the heat source? Whet is the cost of your project? oma_ S Ov 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 - 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 ' Fuel Storage Tanks `.. Swimming Pool (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. m in a m