1999, 01-29 Permit App: 99011389 Sidingn
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APPLICATION INFORMATION
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What is the JOB SITE address? .--
/4°‘ 5-. P, *,c..5 R O .
ASSESSOR'S tax parcel number?
Legal description as it appears on the property deed
St,tivc )C G'cy % f?cycileL
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e,-5-t'`f 69-S'9
O NER or OCCUPANT
/606 5. /,, cs 2D.
Phone
S%dk &A _ 99aoC
Mailing address
OV Arc
City, state Zip
9� V' 2.S7&.
Who should we contact regarding this project?
Phone
What work is being done under this permit?
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Inspector district :: : -
Property size --.
Right of way width -_
Water.distnct
Building
Building height
# of stories
Contractor
SPok)g n 1/*it c.t, C0.-47. G[.. L.,
Dimensions
TOTAL SQUARE FOOTAGE
WA State Contractor licensi#
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Main floor area
Unfinished basement area
Mailing address
J7 3.IO9cOCA C L+10
2nd floor area
Finished basement area
Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source,
What is the cost of your
project? yo
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
Fuef:Storage-Tanks
Swimming -P06.1'.-...
(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.