1995, 03-03 Permit App: 95001101 ReroofAPPLICATION INFORMATION
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hat is the JOB SITE address?
ASSESSOR'S tax parcel number?
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Legal description as it appears on the property deed
OWNER or OCCUPANT
Phone
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Mailing address
City, state
Zip
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Who should we contact regarding this project?
Phone
What work is being done under this permit?
one
InspectormstrictzProperty
sizeRight
ot way width
y
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Ater district.
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m
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Building height
# of stories
Contractor
Dimensions
TOTAL SQUARE AGE
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A State Contractor license #
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Unfinished basement area
A/APA 01��L/'S
Mai mg address
2nd floor area
Finished basement area
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Architect/Engineer
Garage area
Size of decks, etc.
What is the heat source?
What is the cost of your project?
Manufactured Home
Sign'
Width:
Length:
What is the square footage of
How high is the sign?
the sign face?
Year:
Make:
Installer
Contractor
We State Contractor license #
We State Contractor license #
Mailing address
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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